Provider Demographics
NPI:1245530898
Name:ZEUSCHNER, JENNIFER A (LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:ZEUSCHNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 N OAK ST STE 209F
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-3173
Mailing Address - Country:US
Mailing Address - Phone:843-212-6995
Mailing Address - Fax:855-318-5403
Practice Address - Street 1:2411 N OAK ST STE 209F
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-3173
Practice Address - Country:US
Practice Address - Phone:843-212-6995
Practice Address - Fax:855-318-5403
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
SCLPC.8882PCS101YP2500X
UT7908780-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional