Organization
COUNSELING CENTER OF PENDELTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN D GOFF LPC (OWNER)
(864) 812-9400
Entity
Organization
Contact information
Practice address
104 BROWNS SQUARE DR, WALHALLA, SC 29691-2271
(864) 812-9400
(864) 644-2710
Mailing address
104 BROWNS SQUARE DR, WALHALLA, SC 29691-2271
(864) 812-9400
(864) 644-2710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4637
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4637
SC LICENSES NUMBER
SC
Enumeration date
12/26/2014
Last updated
12/26/2014
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