Jennifer Self is a Counselor in Bennettsville, South Carolina. Jennifer Self practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jennifer Self is 1366525362. The last update date is 2012-03-07.
Jennifer Self's current location address is P.o. Box 918, Bennettsville, South Carolina. You can contact this provider via phone number 8434540841 and fax number 8434540635. The mailing address for Jennifer Self is P.o. Box 918, Bennettsville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Self |
|---|---|
| Address | P.o. Box 918, Bennettsville, South Carolina |
| Phone Number | 8434540841 |
| Fax Number | 8434540635 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1366525362 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2012-03-07 |
Provider Mailing Address Detail
| Address | P.o. Box 918 |
|---|---|
| City | Bennettsville |
| State | South Carolina (SC) |
| Post Code | 29512 |
| Phone Number | 8434540841 |
| Fax Number | 8434540635 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 405127 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Self by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Self has been assigned the NPI (National Provider Identifier) 1366525362. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jennifer Self?
The Jennifer Self is physically situated at P.O. Box 918, in the city of Bennettsville, state of SC, with the postal code 29512.
What is Jennifer Self's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jennifer Self's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366525362 to Jennifer Self?
The Jennifer Self received its 1366525362 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information pertaining to Jennifer Self most recently updated or revised?
The details related to Jennifer Self, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-07.
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