Individual
MANDY MICHELLE RENTERIA'
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5848 GUILFORD PL, BLUFFTON, SC 29910-6669
(843) 816-1815
Mailing address
5848 GUILFORD PL, BLUFFTON, SC 29910-6669
(843) 816-1815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6291
SC
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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