Individual
STEPHEN GUNSALLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCI
Contact information
Practice address
20 STARBOARD TACK DR, SALEM, SC 29676-4026
(864) 944-7074
Mailing address
20 STARBOARD TACK DR, SALEM, SC 29676-4026
(864) 944-7074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4748
SC
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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