Individual
SHELIZA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
630 CHESTNUT RD, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
Mailing address
603 SIX LAKES DR, MYRTLE BEACH, SC 29588-8836
(843) 222-3470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8430
SC
Other
Enumeration date
04/19/2023
Last updated
07/20/2023
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