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Organization

CHOICES COUNSELING AND ADVOCACY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINE JOHNSON LPC (CLINICAL DIRECTOR)
(803) 851-4049
Entity
Organization

Contact information

Practice address
3969 SOUTHEASTERN WAY, WEST COLUMBIA, SC 29169
(803) 851-4049
Mailing address
3969 SOUTHEASTERN WAY, WEST COLUMBIA, SC 29169-2442
(803) 851-4049

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5155
SC
251B00000X
Case Management Agency
5155
SC
251S00000X
Community/Behavioral Health Agency
5155
SC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
5155
SC
261QM0850X
Adult Mental Health Clinic/Center
5155
SC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
5155
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1019
SC
Enumeration date
06/22/2018
Last updated
06/22/2018
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