Whalio Doctors

NPI 1164963054

Jessica Elizabeth Roman, LPC

Practitioner Professional Counselor Pawleys Island, SC

Practice location

Address
14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817
Phone
(843) 779-2264
Fax
(866) 580-4842
Mailing address
235 Linden Cir, Pawleys Island, SC 29585-8046

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6893 (SC)

Registry record

NPI
1164963054
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Mar 2017
Record last updated
16 Aug 2019

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.