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Individual

MS. SUNNY ROSANNA STREET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
101 DELANEY CIR, SUMMERVILLE, SC 29485-8021
(843) 964-7271
(864) 345-7275
Mailing address
101 DELANEY CIR, SUMMERVILLE, SC 29485-8021
(846) 964-7271
(843) 345-7275

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3572
NC
101YM0800X
Mental Health Counselor
MH19615
FL
101YP2500X
Professional Counselor
Primary
3572
NC
101YP2500X
Professional Counselor
7408
SC

Other

Enumeration date
12/14/2005
Last updated
01/17/2023
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