Organization
POST TRAUMA RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMINE LESLIE LISW-CP (PRACTICE MANAGER)
(803) 765-0700
Entity
Organization
Contact information
Practice address
1709 LAUREL ST, COLUMBIA, SC 29201-2624
(803) 765-0700
(803) 765-1607
Mailing address
1709 LAUREL ST, COLUMBIA, SC 29201-2624
(803) 765-0700
(803) 765-1607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
01/05/2012
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