| Jessica Green, | |
|
12 W South St, Manning, SC 29102-2925 | |
| (803) 433-4321 | |
| (803) 433-0075 |
| Full Name | Jessica Green |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 12 W South St, Manning, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104221811 | NPI | - | NPPES |
| 570604046 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6910 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Green, 360 N Irby St, Florence, SC 29501-2808 Ph: (843) 667-9414 | Jessica Green, 12 W South St, Manning, SC 29102-2925 Ph: (803) 433-4321 |
Mr. Austin Obika, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Commerce St, Swcmhc/clarendon County Mental Health Clinic, Manning, SC 29102 Phone: 803-495-2124 Fax: 803-435-8113 | |
Vanessa Boatright, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1931 Baggette Rd, Manning, SC 29102 Phone: 843-615-3812 Fax: 803-472-1027 | |
Mrs. Madison Vanderlugt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 N Church St, Manning, SC 29102 Phone: 803-435-2121 | |
Ms. Derhonda K. Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: Swcmhc/clarendon Cmhc, 215 Commerce St., Manning, SC 29102 Phone: 803-435-2124 Fax: 803-435-8113 | |
Jacqueline Mack, M.H.P, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Commerce St, Manning, SC 29102 Phone: 803-435-2124 | |
Ms. Natcher L. Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Commerce St., Swcmhc/clarendon Cmhc, Manning, SC 29102 Phone: 803-435-2124 Fax: 803-435-8113 |