Individual
REBEKAH MARIE COUNTRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC, AADC
Contact information
Practice address
261 CALHOUN ST STE 250, CHARLESTON, SC 29401-1371
(843) 867-8431
Mailing address
913 DIANA ST, CHARLESTON, SC 29407-6401
(228) 239-7067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
535
SC
101YP2500X
Professional Counselor
Primary
8270
SC
Other
Enumeration date
08/11/2021
Last updated
07/12/2023
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