Organization
NORTHEAST COLUMBIA PSYCHOTHERAPY PRACTICE INC.
Active
Other names
Norheast Columbia Psychotherapy Practice, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BETH TROY MARIS MSW (THERAPIST/PRESIDENT)
(803) 736-7133
Entity
Organization
Contact information
Practice address
9 POACHERS LANE, COLUMBIA, SC 29223-3014
(803) 736-7133
Mailing address
9 POACHERS LANE, COLUMBIA, SC 29223-3014
(803) 736-7133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LISW-CP 134
SC
Other
Enumeration date
03/21/2006
Last updated
08/11/2022
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