Individual
MS. CHERYL M BRISBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
17 HOLTEN CT, IRMO, SC 29063-9113
(803) 781-8943
Mailing address
17 HOLTEN CT, IRMO, SC 29063-9113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4887
SC
Other
Enumeration date
03/12/2012
Last updated
03/13/2012
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