Individual
CASEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2917 MILLWOOD AVE STE B, COLUMBIA, SC 29205-1334
(803) 939-5840
Mailing address
2917 MILLWOOD AVE STE B, COLUMBIA, SC 29205-1334
(803) 939-5840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6140
SC
Other
Enumeration date
12/27/2013
Last updated
08/19/2019
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