Individual
SUSANNA MARY VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
2609 SEMINOLE RD, COLUMBIA, SC 29210-6581
(803) 752-0828
Mailing address
1805 CLEMSON RD UNIT 291311, COLUMBIA, SC 29229-0553
(803) 752-0828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4873
SC
Other
Enumeration date
10/06/2006
Last updated
11/09/2018
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