Individual
WILLIE GOINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED. S
Contact information
Practice address
2712 MIDDLEBURG DR STE 206, COLUMBIA, SC 29204-2415
(803) 779-0354
Mailing address
7 BIG LEAF CT, COLUMBIA, SC 29229-9414
(803) 788-7485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4799
SC
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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