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Individual

MS. SUSAN LEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, CAMSII

Contact information

Practice address
101 W SAINT JOHN ST STE 103, SPARTANBURG, SC 29306-5157
(864) 406-5774
(864) 778-2983
Mailing address
101 W SAINT JOHN ST STE 103, SPARTANBURG, SC 29306-5157
(864) 406-5774
(864) 778-2983

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106H00000X
Marriage & Family Therapist
Primary
7000
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SCS1520281
SC
Enumeration date
09/01/2017
Last updated
09/11/2024
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