Individual
MICHAELE KUBACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 MUDDY TOES DR, ANDERSON, SC 29626-5349
(864) 353-3384
Mailing address
6254 LIBERTY HWY, PENDLETON, SC 29670-9784
(803) 236-0638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10775
SC
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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