Individual
MELISSA BURLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 212-8968
Mailing address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 212-8968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11973
SC
1041C0700X
Clinical Social Worker
Primary
14257
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
01/04/2017
Last updated
05/14/2021
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