Individual
JUSTINA E SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 GERVAIS ST STE 2B, COLUMBIA, SC 29201-3125
(803) 888-6714
Mailing address
801 GERVAIS ST STE 2B, COLUMBIA, SC 29201-3125
(803) 888-6714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8261
SC
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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