Individual
RANDALL MACKENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
307 MENDENHALL ST, SUMMERVILLE, SC 29483-5223
(843) 637-5662
Mailing address
307 MENDENHALL ST, SUMMERVILLE, SC 29483-5223
(843) 637-5662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2501
SC
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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