Individual
WILLIE MAE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
102 GINN ALTMAN AVE, SUITE C, HAMPTON, SC 29924-3962
(803) 943-2800
(803) 943-2267
Mailing address
102 GINN ALTMAN AVE, SUITE C, HAMPTON, SC 29924-3962
(803) 943-2800
(803) 943-2267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1112302
SC
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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