Individual
MRS. DEBRA ANN MUNFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LAC, LAC-S
Contact information
Practice address
3116 SALLY HILL ROAD SUITE 114, TIMMONSVILLE, SC 29161
(843) 618-4658
(843) 954-6066
Mailing address
28 KENDALS LN, FOUNTAIN INN, SC 29644-1770
(843) 618-4658
(843) 954-6066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
253
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
7221
SC
101YP2500X
Professional Counselor
Primary
8457
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720466857
—
SC
05
—
PC2641
—
SC
Enumeration date
05/08/2015
Last updated
12/11/2025
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