Organization
CENTER FOR COUNSELING & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA J BOGLE M.S. (DIRECTOR)
(843) 663-0770
Entity
Organization
Contact information
Practice address
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582-3050
(843) 663-0770
(843) 663-0772
Mailing address
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582-3050
(843) 663-0770
(843) 663-0772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5005
SC
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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