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Organization
CHOICES COUNSELING AND ADVOCACY CENTER, LLC
Active
Organization
CHOICES COUNSELING AND ADVOCACY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE JOHNSON LPC (CLINICAL DIRECTOR)
(803) 851-4049
Entity
Organization
Contact information
Practice address
3969 SOUTHEASTERN WAY, WEST COLUMBIA, SC 29169
(803) 851-4049
Mailing address
3969 SOUTHEASTERN WAY, WEST COLUMBIA, SC 29169-2442
(803) 851-4049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5155
SC
251B00000X
Case Management Agency
5155
SC
251S00000X
Community/Behavioral Health Agency
5155
SC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
5155
SC
261QM0850X
Adult Mental Health Clinic/Center
5155
SC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
5155
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1019
—
SC
Enumeration date
06/22/2018
Last updated
06/22/2018
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