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Organization

BLUE WATER COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY L HOLLAND D.MIN., LPC, LMFT (MEMBER)
(864) 253-9089
Entity
Organization

Contact information

Practice address
397 BLAKE ST, SPARTANBURG, SC 29302-1572
(864) 253-9089
(864) 591-1232
Mailing address
397 BLAKE ST, SPARTANBURG, SC 29302-1572
(864) 253-9089
(864) 591-1232

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1818
SC

Other

Enumeration date
07/08/2006
Last updated
08/22/2020
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