Organization
MIDLANDS COUNSELING & CONSULTING CENTER , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME PREZZY MASTERS ART (DIRECTOR OF OPERATIONS)
(803) 799-0144
Entity
Organization
Contact information
Practice address
2611 FOREST DR STE 114A, COLUMBIA, SC 29204-2372
(803) 799-0144
(803) 799-1136
Mailing address
2611 FOREST DR STE 114A, COLUMBIA, SC 29204-2372
(803) 799-0144
(803) 799-1136
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
WP9902
SC
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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