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Organization
PEACE OF MINE COUNSELING AND CONSULTATION
Active
Organization
PEACE OF MINE COUNSELING AND CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANISHA FORDHAM MILLER LPC, LAC (OWNER/COUNSELOR)
(843) 709-3392
Entity
Organization
Contact information
Practice address
106 W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(843) 709-3392
Mailing address
24 MIDDLEFIELD CT, SIMPSONVILLE, SC 29680-7054
(843) 709-3392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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