Individual
ANGEL DAVIS CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
1551 21ST AVE N STE 17, MYRTLE BEACH, SC 29577-7496
(843) 868-6200
(843) 868-6200
Mailing address
1551 21ST AVE N STE 17, MYRTLE BEACH, SC 29577-7496
(843) 868-6200
(843) 868-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3242
NC
101YM0800X
Mental Health Counselor
Primary
9733
NC
101YP2500X
Professional Counselor
9733
NC
Other
Enumeration date
10/10/2012
Last updated
08/23/2024
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