Individual
DANA LEE DODDS-FORMANECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
904 E WASHINGTON ST, GREENVILLE, SC 29601-3127
(864) 405-3056
Mailing address
8 KIM ST, GREENVILLE, SC 29605-4010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10818
SC
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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