Individual
AMBRIEL HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 HEATHERWOOD RD, MARION, SC 29571-6581
(843) 453-3767
Mailing address
216 HEATHERWOOD RD, MARION, SC 29571-6581
(843) 453-3767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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