Individual
DANA BROOKE MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-I, CACP
Contact information
Practice address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 719-3000
Mailing address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 719-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
SC
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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