Individual
FAWN J FOULKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,LPC,CRC
Contact information
Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 786-1183
(803) 735-1021
Mailing address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 786-1183
(803) 735-1021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4763
SD
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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