Provider Demographics
NPI:1487713020
Name:GERBER, JENNIFER MAGUIRE (LPC-S)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MAGUIRE
Last Name:GERBER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:GERBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-S
Mailing Address - Street 1:719 S LAKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3432
Mailing Address - Country:US
Mailing Address - Phone:803-770-5659
Mailing Address - Fax:803-471-6554
Practice Address - Street 1:301 PALMETTO PARK BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7872
Practice Address - Country:US
Practice Address - Phone:803-996-1500
Practice Address - Fax:803-996-1510
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health