Individual
MRS. ELLALEE F. GRAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
(843) 448-9875
Mailing address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
(843) 448-9875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2256
SC
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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