Individual
MRS. JOANNA CLARK DITTENHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, EDS, NCC, LPC-A
Contact information
Practice address
119 MANLY ST, GREENVILLE, SC 29601-3024
(864) 534-1224
Mailing address
415 CALEDON CT, GREENVILLE, SC 29615-3132
(843) 861-9871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7834
SC
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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