Provider Demographics
NPI:1477855252
Name:STEWART, JEMME BETHUNE (LPC, PMHCNS-BC)
Entity Type:Individual
Prefix:MS
First Name:JEMME
Middle Name:BETHUNE
Last Name:STEWART
Suffix:
Gender:F
Credentials:LPC, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 BLOSSOM ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-2322
Mailing Address - Country:US
Mailing Address - Phone:803-960-7737
Mailing Address - Fax:
Practice Address - Street 1:2219 BLOSSOM ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-2322
Practice Address - Country:US
Practice Address - Phone:803-960-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC95101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health