Individual
MRS. CHERYL LYN FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-4777
(803) 898-4855
Mailing address
125 SANDSTONE RD, COLUMBIA, SC 29212-8258
(803) 732-1889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4635
SC
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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