Individual
LISA LARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 SIMMONS ST, MOUNT PLEASANT, SC 29464-4347
(843) 642-8882
Mailing address
207 SIMMONS ST, MOUNT PLEASANT, SC 29464-4347
(843) 642-8882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6075
SC
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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