Individual
MS. DALE ROUSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER OF SCIENCE
Contact information
Practice address
101 COMMERCIAL DR, ABBEVILLE, SC 29620-5593
(864) 459-9671
Mailing address
187 BIG POND DR, DONALDS, SC 29638-8830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
02/22/2007
Last updated
07/08/2007
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