Individual
CRESEDA RICCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E MAIN ST, PENDLETON, SC 29670-1308
(864) 383-1996
Mailing address
204 E MAIN ST, PENDLETON, SC 29670-1308
(864) 383-1996
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9142
SC
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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