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Individual

DEBRA COLE CULBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, LPC, LAC, LPCS

Contact information

Practice address
455 HIGHWAY 123 STE C, SENECA, SC 29678-0855
(864) 710-4723
(864) 752-1186
Mailing address
259 WINSTEAD RD, WEST UNION, SC 29696-3026
(864) 710-4723
(864) 752-1186

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6903
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
669
SC
101YP2500X
Professional Counselor
Primary
3474
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1794
SC
Enumeration date
05/10/2013
Last updated
12/02/2021
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