Individual
JULIA GWYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC-I
Contact information
Practice address
180 UNIVERSITY PKWY, BLUFFTON, SC 29909-6069
(843) 304-5857
Mailing address
180 UNIVERSITY PKWY, BLUFFTON, SC 29909-6069
(843) 304-5857
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6879
SC
101YM0800X
Mental Health Counselor
Primary
6879
SC
101YP2500X
Professional Counselor
6879
SC
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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