Individual
ANNA GRACE REBULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
745 JOHNNIE DODDS BLVD STE B, MT PLEASANT, SC 29464-3071
(843) 847-1730
Mailing address
745 JOHNNIE DODDS BLVD STE B, MT PLEASANT, SC 29464-3071
(843) 847-1730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7172
SC
Other
Enumeration date
06/17/2019
Last updated
09/25/2024
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