Foulkes-Jamison, Lesley Audra

Foulkes-Jamison, Lesley Audra is an sole proprietor health care provider with primary practice located at 1180 Columbia Ave Suite 201, Irmo SC 29063-2852. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Foulkes-Jamison, Lesley Audra can be contacted via phone (803) 407-5920.

Contact Information

Primary practice address
1180 Columbia Ave Suite 201 Irmo SC 29063-2852
Phone: (803) 407-5920
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 803 South Carolina

Profile Details

NPI number 1609901743
LBN Legal business name Foulkes-Jamison, Lesley Audra
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609901743 NPPES
South Carolina MEDICAID PS0333

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