TERRILL D JACQUES

COLUMBIA, SC
NPI1801959861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
TERRILL D JACQUES CPSS
ENTIRE STATE
COLUMBIA, SC 29202
Phone number: 803-898-2025
Mailing Address
TERRILL D JACQUES CPSS
1800 COLONIAL DR COTTAGE A
COLUMBIA, SC 29202
Phone number: