Organization
SAFE HARBOUR COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANSAS GOLLER MA, LPC (COUNSELOR)
(843) 441-2317
Entity
Organization
Contact information
Practice address
23 LITTLE CREEK RD, BEAUFORT, SC 29907-1634
(843) 441-2317
Mailing address
PO BOX 844, BEAUFORT, SC 29901-0844
(843) 441-2317
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
12/31/2020
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