Individual
CAROLYNN CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHICK SPRINGS RD, GREENVILLE, SC 29609-4946
(864) 421-7777
Mailing address
1728 MEMORIAL DRIVE EXT, GREER, SC 29651-5750
(864) 421-7777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5345
SC
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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