Organization
CAROLINA FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BROOKS PH.D. (EXECUTIVE DIRECTOR)
(864) 269-5766
Entity
Organization
Contact information
Practice address
104 ANDREWS ST, GREENVILLE, SC 29601-3904
(864) 269-5766
Mailing address
104 ANDREWS ST, GREENVILLE, SC 29601-3904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4685
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBT019
—
SC
Enumeration date
02/26/2006
Last updated
08/22/2020
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