Individual
MARCIA M TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
209 HAYWORTH RD, SUMMERVILLE, SC 29486-7104
(803) 243-4003
Mailing address
209 HAYWORTH RD, SUMMERVILLE, SC 29486-7104
(803) 243-4003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005213
CT
101YM0800X
Mental Health Counselor
4111
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435201
—
SC
Enumeration date
03/05/2020
Last updated
04/07/2022
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