Individual
MARY MYERS BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
911 LYTTLETON ST, CAMDEN, SC 29020-4412
(803) 713-7979
(803) 728-2200
Mailing address
PO BOX 2487, CAMDEN, SC 29020-8009
(912) 655-2323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6409
SC
101YM0800X
Mental Health Counselor
6409
SC
101YM0800X
Mental Health Counselor
LPC008437
—
101YP2500X
Professional Counselor
Primary
6409
SC
101YP2500X
Professional Counselor
LPC008437
GA
Other
Enumeration date
03/17/2014
Last updated
10/06/2023
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