Individual
MR. MALIK MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1 WINDSOR CV, COLUMBIA, SC 29223-1833
(803) 873-2496
Mailing address
PO BOX 291502, COLUMBIA, SC 29229-0026
(803) 626-2256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6672
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6672
BOARD OF EXAMINERS FOR COUNSELORS, THERAPISTS, & PSYCHO-EDUCATIONAL SPECIALISTS
SC
Enumeration date
02/03/2018
Last updated
04/11/2020
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