| Susan K Jones LLC | |
|
105 Central Ave Unit 7 Goose Creek SC 29445-3269 | |
| (843) 697-1573 | |
| Not Available |
| Full Name | Susan K Jones LLC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 105 Central Ave Unit 7, Goose Creek, South Carolina |
| Authorized Official Name and Position | Susan K Jones (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8436971573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan K Jones LLC 1213 Saint Johns Ave Moncks Corner SC 29461-9203 Ph: (843) 697-1573 | Susan K Jones LLC 105 Central Ave Unit 7 Goose Creek SC 29445-3269 Ph: (843) 697-1573 |
| NPI Number | 1306497151 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 10/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306497151 | NPI | - | NPPES |
| 1225335169 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
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