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Individual

MS. CARISA MICHELLE GERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
181 E EVANS ST STE C5, FLORENCE, SC 29506-5502
(843) 731-9016
(843) 989-0175
Mailing address
PO BOX 7544, FLORENCE, SC 29502-7544
(843) 773-6186
(843) 989-0175

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7130
SC
101YM0800X
Mental Health Counselor
Primary
7838
SC

Other

Enumeration date
06/14/2019
Last updated
04/23/2024
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