Individual
MRS. THERESA ELISE SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED LPC LAC CCMHC
Contact information
Practice address
106 LANSFORD CT STE 200, MYRTLE BEACH, SC 29588-3501
(843) 983-1655
(843) 983-1665
Mailing address
106 LANSFORD CT STE 200, MYRTLE BEACH, SC 29588-3501
(843) 983-1655
(843) 983-1665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
3750
SC
Other
Enumeration date
07/13/2006
Last updated
03/21/2024
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