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Individual

MRS. ELIZABETH ANN MINNICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC, LCAS

Contact information

Practice address
3100 DICK POND RD STE E-3, MYRTLE BEACH, SC 29588-7286
(919) 637-9418
Mailing address
3100 DICK POND RD STE E-3, MYRTLE BEACH, SC 29588-7286
(919) 637-9418

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21213
NC
101YP2500X
Professional Counselor
Primary
A11356
NC

Other

Enumeration date
03/10/2015
Last updated
01/20/2023
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