Organization
RENAISSANCE THERAPY & FORENSIC COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL BLACK HAMAN LPC MAC SAP (OWNER)
(864) 573-5956
Entity
Organization
Contact information
Practice address
200 EZELL ST, SPARTANBURG, SC 29306
(864) 573-5956
(864) 573-7353
Mailing address
200 EZELL ST, SPARTANBURG, SC 29306
(864) 573-5956
(864) 573-7353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4251
SC
Other
Enumeration date
07/10/2006
Last updated
08/01/2008
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