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General NPI Number Information
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NPI Number | 1790991941
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Entity Type | Organization
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Legal Business Name | JAYNE & STOCKWELL, LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 WAPPOO CREEK DR SUITE 2-B
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City | CHARLESTON
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State | SC
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Zip | 29412-2134
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Country | US
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Telephone | 843-406-0013
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Fax | 843-406-0013
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Provider Business Mailing Address
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Address Line | 105 WAPPOO CREEK DR SUITE 2-B
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City | CHARLESTON
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State | SC
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Zip | 29412
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Country | US
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Telephone | 843-406-0013
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Fax | 843-406-0013
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. STEPHANIE K STOCKWELL
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Credential | LPC
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Telephone | 843-406-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2229
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License Number State | SC
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