Individual
MRS. MARYANNE BANICH MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2016 ASSEMBLY ST, COLUMBIA, SC 29201-2142
(803) 254-4460
(803) 771-7666
Mailing address
2016 ASSEMBLY ST, COLUMBIA, SC 29201-2142
(803) 254-4460
(803) 771-7666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4630
SC
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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