Individual
PATIENCE RUSSELL-GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
609 CARTERET ST, BEAUFORT, SC 29902-5003
(843) 592-0510
Mailing address
1312 HARRINGTON ST, BEAUFORT, SC 29902-4124
(843) 592-0510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5909
SC
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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