Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK H BOOTH, PSY.D, LPC
Active Sole ProprietorJACK H BOOTH, PSY.D, LPC is a Mental Health Counselor healthcare provider located in SUMMERVILLE, South Carolina. NPI 1548291842 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SUMMERVILLE, SC
Registration Details
- NPI Number
- 1548291842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (19.966363692567 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2674 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
709 OLD TROLLEY RDSUMMERVILLE, SC, 294855203Browse SC providers · Browse ZIP 29485
- Phone
- 8438212480
- Fax
- 8438753149
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in SUMMERVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| MR. TIM NIX | M.A., LPC | 1861459455 |
| MRS. DEBORAH BOYLE ENGELMAN | LPC | 1881644573 |
| PETER J BUCCELLATO | — | 1063504546 |
| MARION R LAWTON | — | 1629160148 |
| MONIQUE L GREEN | — | 1992897482 |
| KELLY A ASTLE | CC | 1417049990 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.