Individual
BROOKE MATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 S MAIN ST STE C, MAULDIN, SC 29662-2251
(864) 293-5025
Mailing address
400 S MAIN ST STE C, MAULDIN, SC 29662-2251
(864) 293-5025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6395
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6395
SOUTH CAROLINA BOARD OF COUNSELORS
SC
Enumeration date
08/08/2016
Last updated
08/08/2016
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