Individual
MELODY GRACE JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
187 W BROAD ST, SPARTANBURG, SC 29306-3234
(864) 707-2802
Mailing address
253 CATS CREEK RD, GAFFNEY, SC 29340-6126
(864) 838-2684
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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