Jean S Pruett is a Professional in Roebuck, South Carolina. Jean S Pruett practices all healthcare services and medical treatments related to Professional. The NPI Number for Jean S Pruett is 1407831571. The last update date is 2017-02-15.
Jean S Pruett's current location address is 664 W Heatherstone Ln, Roebuck, South Carolina. You can contact this provider via phone number 7046512895 and fax number 8645748142. The mailing address for Jean S Pruett is 664 W Heatherstone Ln, Roebuck, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean S Pruett |
|---|---|
| Address | 664 W Heatherstone Ln, Roebuck, South Carolina |
| Phone Number | 7046512895 |
| Fax Number | 8645748142 |
| Sole Proprietor | N |
| Credentials | D.MIN., LP |
NPI Number Detail
| NPI Number | 1407831571 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2017-02-15 |
Provider Mailing Address Detail
| Address | 664 W Heatherstone Ln |
|---|---|
| City | Roebuck |
| State | South Carolina (SC) |
| Post Code | 293762787 |
| Phone Number | 7046512895 |
| Fax Number | 8645748142 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC 1762 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique provider identifier assigned to Jean S Pruett?
The Jean S Pruett has been issued the NPI (National Provider Identifier) 1407831571 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jean S Pruett's physical address?
The Jean S Pruett is physically located at 664 W Heatherstone Ln, in the city of Roebuck, SC, with the postal code 293762787.
What is Jean S Pruett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jean S Pruett is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.
On what date did Jean S Pruett receive its 1407831571 assignment from the Centers for Medicare & Medicaid Services?
The Jean S Pruett was assigned its 1407831571 on 2005-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jean S Pruett last refreshed?
The information related to the Jean S Pruett, including its address, specialty, and other relevant details, was last updated on 2017-02-15.