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Individual

JAMES H. MOODY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCS

Contact information

Practice address
627 OLD TROLLEY RD STE A, SUMMERVILLE, SC 29485-5673
(800) 552-4357
(678) 388-9244
Mailing address
627 OLD TROLLEY RD STE A, SUMMERVILLE, SC 29485-5673
(800) 552-4357
(678) 388-9244

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8103
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1461
SC
Enumeration date
11/08/2010
Last updated
08/13/2024
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