Spann, J'Wanna

Spann, J'Wanna is an individual health care provider with primary practice located at 100A Central Ave Ste 209 , Goose Creek SC 29445-2979. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Spann, J'Wanna can be contacted via phone (843) 940-7549.

Contact Information

Primary practice address
100A Central Ave Ste 209 Goose Creek SC 29445-2979
Fax: (888) 914-9713
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457619959
LBN Legal business name Spann, J'Wanna
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2012
Last updated May 7th, 2021 - about 4 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 1457619959 NPPES
South Carolina MEDICAID 435201

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