Organization
CRYSTAL CLEAR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN MALKASIAN PSY.D (OWNER)
(508) 254-0066
Entity
Organization
Contact information
Practice address
1500 HIGHWAY 17 N STE 201, SURFSIDE BEACH, SC 29575-6078
(508) 254-0066
Mailing address
502 LUMBER ST, NICHOLS, SC 29581-5074
(508) 254-0066
(866) 220-0907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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