Individual
ROSARIA Z. GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
7320 COLLEGE ST UNIT 202, IRMO, SC 29063-2944
(631) 772-2962
Mailing address
7320 COLLEGE ST UNIT 202, IRMO, SC 29063-2944
(803) 879-7707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8858
SD
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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