Individual
MRS. NICOLE GAMUN HO KRZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, ATR
Contact information
Practice address
GATEWAY COUNSELING, 126 BROADBENT WAY, ANDERSON, SC 29625
(864) 406-6041
Mailing address
176 THAMES VALLEY DR, EASLEY, SC 29642-1674
(757) 687-9981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
HI
101YP2500X
Professional Counselor
Primary
8072
SC
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417475948
—
SC
Enumeration date
09/05/2017
Last updated
04/29/2022
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