Individual
MR. MELVIN DUBARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S., LPC
Contact information
Practice address
372 PINE ST E, VARNVILLE, SC 29944-9618
(803) 943-9434
(803) 943-9454
Mailing address
PO BOX 784, HAMPTON, SC 29924-0784
(803) 943-9434
(803) 943-9454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5783
SC
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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