Individual
EMILY DAWN IMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
127 W ANTRIM DR, GREENVILLE, SC 29607-2505
(864) 239-4110
Mailing address
212 BALFER DR, GREENVILLE, SC 29615-1012
(864) 542-7283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9428
SC
Other
Enumeration date
07/19/2022
Last updated
08/14/2024
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