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Organization

WILLOW OAK COUNSELING AND BEHAVIORAL SERVICES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JESSICA ELIZABETH ROMAN LPC (OWNER/LICENSED PROFESSIONAL COUNSEL)
(843) 779-2264
Entity
Organization

Contact information

Practice address
14323 OCEAN HWY UNIT 4103, PAWLEYS ISLAND, SC 29585-4817
(843) 779-2264
(866) 580-4842
Mailing address
14323 OCEAN HWY UNIT 4103, PAWLEYS ISLAND, SC 29585-4817
(843) 314-0416
(866) 580-4842

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
W80629SC1
SC
Enumeration date
10/01/2018
Last updated
08/12/2019
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