Individual
CAROL MARIE CUPPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2113 ADAMS GRV, SUITE 110, COLUMBIA, SC 29203-6951
(803) 256-1737
(803) 256-1737
Mailing address
2113 ADAMS GRV, COLUMBIA, SC 29203-6951
(803) 256-1737
(803) 256-1737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4744
SC
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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