Individual
ANGELA CATHERINE NORDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 DICK POND RD UNIT A, MYRTLE BEACH, SC 29588-7286
(843) 222-6919
(843) 294-0318
Mailing address
622 16TH AVE S, SURFSIDE BEACH, SC 29575-3015
(843) 222-6919
(843) 294-0318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6928
SC
101YM0800X
Mental Health Counselor
6928
SC
101YP2500X
Professional Counselor
Primary
6928
SC
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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