Individual
MRS. SUSAN M BULSZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2513 N. OAK ST., SUITE 208, MYRTLE BEACH, SC 29577
(843) 333-6767
(843) 448-9875
Mailing address
PO BOX 50046, MYRTLE BEACH, SC 29579
(843) 333-6767
(843) 448-9875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4956
SC
101YP2500X
Professional Counselor
4956
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1089
—
SC
Enumeration date
10/18/2006
Last updated
04/15/2019
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