Individual
DANIEL M FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
810 DUTCH SQUARE BLVD, COLUMBIA, SC 29210-7318
(984) 212-0028
Mailing address
10 PITSFORD CT, IRMO, SC 29063-8344
(213) 265-6411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10240
SC
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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