Jane Davis Prevost, LPC
Counselor, Professional in Mount Pleasant, SC. Individual provider (NPI-1).
NPI number1407601289
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1407601289
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jane Davis Prevost
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2024
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 9184 | SC | Yes |
Practice location
1135 Kincannon DrMount Pleasant, SC 29464-3864
Phone 828-329-1631
Mailing address
1135 Kincannon DrMount Pleasant, SC 29464-3864
Phone 828-329-1631
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