Jalissa Newton's National Provider Identifier (NPI) Details
Jalissa Newton, LPC
NPI: 1740866458
Enumeration Date: 2021-03-23
Last updated: 2021-03-23
Sole Proprietor: NO
Status: active
Postal Address: PO BOX 205, ESTILL, SC
Phone:
Primary Practice Address: 77 HAZZARD CREEK VLG STE C, RIDGELAND, SC
Practice's phone: 843-645-7700