Individual
PAUL CROLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2860 ETON ST, MYRTLE BEACH, SC 29579-6711
(404) 617-9499
Mailing address
2860 ETON ST, MYRTLE BEACH, SC 29579-6711
(404) 617-9499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007980
GA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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