Provider Demographics
NPI:1780075531
Name:SCHWARTZKOPF, JESSICA (MA, LPCI)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SCHWARTZKOPF
Suffix:
Gender:F
Credentials:MA, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 APPLING DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4773
Mailing Address - Country:US
Mailing Address - Phone:843-256-3462
Mailing Address - Fax:
Practice Address - Street 1:39 BROAD ST
Practice Address - Street 2:SUITE 206
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-3019
Practice Address - Country:US
Practice Address - Phone:843-256-3462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional