Whalio Doctors

NPI 1497913222

Jta Consultants LLC

Organisation Clinical Social Worker Irmo, SC

Practice location

Address
3 W Ashford CT, Irmo, SC 29063-8328
Phone
(803) 781-7506
Fax
(803) 781-7506
Mailing address
3 West Ashford CT, Irmo, SC 29063

Authorised official

Name
Jennifer Taylor Allen
Title
Lisw-Cp-Supervisor
Phone
(803) 727-4224

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 1640 (SC)

Registry record

NPI
1497913222
Entity type
Organization
NPI issued
29 May 2008
Record last updated
29 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.