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Organization

PURE SERENITY CONSULTANT AND COUNSELING SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EDNA NICOLE COGDELL-QUICK LPC (OWNER)
(843) 687-4183
Entity
Organization

Contact information

Practice address
112 EXCHANGE ST, DARLINGTON, SC 29532-3204
(843) 687-4183
Mailing address
2550 KINGSTON DR, FLORENCE, SC 29505-6423
(843) 687-4183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
0603302
SC
101YP2500X
Professional Counselor
Primary
4711
SC

Other

Enumeration date
10/23/2009
Last updated
12/08/2009
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