Individual
MR. JUSTIN SUDDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LPCI
Contact information
Practice address
108 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7968
(803) 996-1500
Mailing address
108 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7968
(803) 996-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6518
SC
101YM0800X
Mental Health Counselor
C.1500441
OH
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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