Individual
LUCIANA SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCE, MA, LPCA
Contact information
Practice address
4 CARRIAGE LN STE 405, CHARLESTON, SC 29407-6024
(843) 974-5934
(843) 647-7768
Mailing address
3858 HOTTINGER AVE, NORTH CHARLESTON, SC 29405-7021
(843) 609-7089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7090
SC
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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