Individual
MRS. SELEAH LAVETTE CROSLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LPC,NCC
Contact information
Practice address
171 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 798-1158
Mailing address
6710 THREE BEND RD, NICHOLS, SC 29581-4424
(843) 798-1158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4666
SC
Other
Enumeration date
06/01/2006
Last updated
12/07/2015
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