Individual
DAKOTA DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCI
Contact information
Practice address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-3378
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6822
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576000922
—
SC
Enumeration date
05/25/2018
Last updated
05/25/2018
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