Organization
INTEGRATIVE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI DICKSON-JEFFERSON LPC (OWNER)
(803) 414-5652
Entity
Organization
Contact information
Practice address
4406B FOREST DR, SUITE 104, COLUMBIA, SC 29206-3104
(803) 414-5652
(803) 359-6265
Mailing address
4406B FOREST DR, SUITE 104, COLUMBIA, SC 29206-3104
(803) 414-5652
(803) 359-6265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5584
SC
Other
Enumeration date
11/29/2013
Last updated
11/29/2013
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