# CANTERBURY COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992847248
- **Authorized official:** DR. MARION B CROOKS JR. LISW-CP (DIRECTOR)
- **Authorized official phone:** (864) 235-7501

## Contact information

- **Practice address:** 7 PETTIGRU ST, GREENVILLE, SC 29601-3000
- **Practice address phone:** (864) 235-7501
- **Practice address fax:** (864) 235-7503
- **Mailing address:** 7 PETTIGRU ST, GREENVILLE, SC 29601-3000
- **Mailing address phone:** (864) 235-7501
- **Mailing address fax:** (864) 235-7503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3664 | SC | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 17089H001 | HIGHMARK, INC | PA |
| 01 | — | 29219B001 | BCBS OF SC | SC |
| 01 | — | 29219T001 | TRICARE FOR LIFE | SC |
| 01 | — | 29260P001 | PLANNED ADMINISTRATORS | SC |
| 01 | — | 68131M001 | MUTUAL OF OMAHA | NE |