Individual
BEVERLY CADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 SEVEN FARMS DR, DANIEL ISLAND, SC 29492-7553
(843) 606-0791
Mailing address
7407 PURSER LN, HANAHAN, SC 29410-8291
(843) 494-3801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8539
SC
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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