Individual
MS. ANN MAC CALLOWAY PREVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2917 MILLWOOD AVE STE B, COLUMBIA, SC 29205-1334
(803) 464-7333
Mailing address
2917 MILLWOOD AVE STE B, COLUMBIA, SC 29205-1334
(803) 464-7333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5190
SC
Other
Enumeration date
04/15/2009
Last updated
04/13/2020
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