Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack H Booth, PSYD, LPC

Individual provider Mental Health Counselor · NPI 1548291842

Jack H Booth, PSYD, LPC is a Mental Health Counselor in Summerville, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

709 Old Trolley Rd
Summerville, SC 29485-5203
Phone: (843) 821-2480
Fax: (843) 875-3149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2674 (SC)

Record details

NPI number1548291842
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , LPC
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 8, 2007

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