Individual
MARY ANN SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
430 WOODRUFF RD STE 450, GREENVILLE, SC 29607-3443
(864) 400-5130
Mailing address
221 TROTTERS RIDGE LN, SIMPSONVILLE, SC 29681
(863) 414-7483
(863) 314-9640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC39004878A
IA
101YM0800X
Mental Health Counselor
LMHC7711
FL
101YM0800X
Mental Health Counselor
Primary
LPC9136
SC
101YM0800X
Mental Health Counselor
MH7711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z050L
BCBS FL
FL
Enumeration date
01/24/2007
Last updated
04/02/2024
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