Individual
AMANDA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
774 S SHELMORE BLVD STE 108, MOUNT PLEASANT, SC 29464-7626
(843) 936-2566
Mailing address
774 S SHELMORE BLVD STE 108, MOUNT PLEASANT, SC 29464-7626
(843) 936-2566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17035
SC
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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