Individual
DIOSELINA RUIZ GODBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCI, CT
Contact information
Practice address
12117 OCEAN HWY, PAWLEYS ISLAND, SC 29585-7941
(843) 237-8231
Mailing address
1468 AVALON DR, SURFSIDE BEACH, SC 29575-5444
(843) 798-0427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6707
SC
Other
Enumeration date
03/18/2018
Last updated
03/18/2018
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