Individual
CAROL ANN FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
901 N. KINGS HIGHWAY, MYRTLE BEACH, SC 29577
(843) 448-4820
(843) 448-9875
Mailing address
P.O. BOX 2967, 901 N KINGS HIGHWAY, MYRTLE BEACH, SC 29577
(843) 448-4820
(843) 488-9875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
03000212CR
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
03098012AR
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1612211
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
5933
PA
104100000X
Social Worker
0904007878
VA
104100000X
Social Worker
11660
SC
104100000X
Social Worker
C010142
NC
1041C0700X
Clinical Social Worker
073234-1
NY
1041C0700X
Clinical Social Worker
0904007878
VA
1041C0700X
Clinical Social Worker
Primary
11660
SC
1041C0700X
Clinical Social Worker
CW015716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1366
—
SC
Enumeration date
04/19/2007
Last updated
07/21/2022
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