JACK BOOTH, PSY.D, LPC
Counselor - Mental Health
Active
Individual
NPI: 1548291842
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 2674 (SC) |
Frequently Asked Questions
NPI 1548291842 is the National Provider Identifier for JACK BOOTH, PSY.D, LPC, a Counselor - Mental Health provider located in Summerville, SC. This NPI was enumerated on July 5, 2006.
JACK BOOTH, PSY.D, LPC practices at 709 OLD TROLLEY RD, Summerville, SC 29485.
Quick Facts
- NPI
- 1548291842
- Type
- Individual
- Enumerated
- Jul 5, 2006
- Last Updated
- Jul 8, 2007
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