Jack Booth, PSY.D, LPC

NPI 1548291842 · on the registry since 2006 · sole proprietor

Practice

Address: 709 Old Trolley Rd
Summerville, SC 29485
Phone: (843) 821-2480
Fax: (843) 875-3149
Organisation at this address: Sisofo Health Llc
James Fox Md, Llc
Magnolia Counseling
Hamilton Health Llc
C J Jones Enterprises Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina