Individual
SAVANNA COFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
225 ALDRICH RD, CHESNEE, SC 29323-9080
(864) 572-0578
Mailing address
225 ALDRICH RD, CHESNEE, SC 29323-9080
(864) 572-0578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8636
SC
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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