Individual
MRS. ELIZABETH A URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAPC, LPC, NBCC
Contact information
Practice address
123 N. RAILROAD ST, SALLEY, SC 29137-9054
(803) 234-1213
Mailing address
PO BOX 505, WAGENER, SC 29164-0505
(803) 234-1213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7499
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100368520
—
KY
Enumeration date
01/06/2010
Last updated
12/12/2025
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