Individual
MRS. MARY RENEE MINCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1103 BELLEVIEW ST, COLUMBIA, SC 29201-1871
(803) 606-3396
(803) 401-5651
Mailing address
1103 BELLEVIEW ST, COLUMBIA, SC 29201-1871
(803) 606-3396
(803) 401-5651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4881
SC
Other
Enumeration date
12/08/2006
Last updated
11/24/2015
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