Individual
TINA M MALUNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1060 BOILING SPRINGS ROAD, SUITE 1, SPARTANBURG, SC 29303-2236
(864) 754-4018
(864) 754-4022
Mailing address
1060 BOILING SPRINGS ROAD, SUITE 1, SPARTANBURG, SC 29303-2236
(864) 754-4018
(864) 754-4022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4620
SC
101YP2500X
Professional Counselor
Primary
5031
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
01
—
3335
MEDICARE GROUP NUMBER
SC
05
—
PC1691
—
SC
Enumeration date
08/05/2007
Last updated
08/29/2019
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