Individual
MR. MICHAEL R STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LAC
Contact information
Practice address
417 79TH AVE N STE C, MYRTLE BEACH, SC 29572-4307
(843) 421-7191
(843) 606-5287
Mailing address
417 79TH AVE N STE C, MYRTLE BEACH, SC 29572-4307
(843) 421-7191
(843) 606-5287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
105
SC
101YP2500X
Professional Counselor
Primary
6167
SC
Other
Enumeration date
02/10/2011
Last updated
11/28/2023
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