Individual
YOAN IVAYLOV PENEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 359-7291
Mailing address
305 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 359-7206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/31/2023
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