Individual
RUSSELL HABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1816 BULL ST, COLUMBIA, SC 29201-2506
(803) 254-3786
Mailing address
1816 BULL ST, COLUMBIA, SC 29201-2506
(803) 254-3786
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
316
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0048
—
SC
Enumeration date
12/19/2006
Last updated
05/13/2009
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