Most Relevant Information
Provider Data
| NPI Number: | 1003394917 |
| Provider Name: | SABRINA JELKS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2018 |
| Last Updated: | 08/02/2018 |
Provider Practice Location
2404 WISE RD
CONWAY
SC
295265521
Practice Location Phone/Fax
| Phone: | 8433658884 |
| Fax: |
Provider Mailing Location
PO BOX 136
CONWAY
SC
295280136
Provider Mailing Phone/Fax
| Phone: | 8433658884 |
| Fax: |