Jina Hyde
Counselor, Addiction (Substance Use Disorder) in Chesterfield, SC. Individual provider (NPI-1).
NPI number1104585751
StatusActive
Last updated in NPPESDec 14, 2021
Details
- NPI
- 1104585751
- Entity type
- Individual (NPI-1)
- Name
- Jina Hyde
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2021
- Certification date
- Dec 14, 2021
- Last updated
- Dec 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1218 East BlvdChesterfield, SC 29709-5148
Phone 843-623-7062
Mailing address
1218 East BlvdChesterfield, SC 29709-5148
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