Individual
MS. MICHELE BLACKWELL BENNEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
400 S MAIN ST, SUITE C, MAULDIN, SC 29662-2251
(864) 313-9032
(866) 808-0926
Mailing address
400 S MAIN ST, STE C, MAULDIN, SC 29662-2251
(864) 313-9032
(866) 808-0926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5669
SC
101YP2500X
Professional Counselor
5669
SC
Other
Enumeration date
09/23/2013
Last updated
01/03/2017
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