Individual
STAUNTON GREGORY CHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
5269 RIVERS AVE, NORTH CHARLESTON, SC 29406-6311
(843) 744-1447
(843) 744-1434
Mailing address
1068 WILLOUGHBY LN, MOUNT PLEASANT, SC 29466-9038
(843) 849-8222
(843) 744-1434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3448
SC
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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