Individual
MS. MARIE LISE LINDA CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582-4384
(843) 663-0770
Mailing address
3623 LINDEN ST, MYRTLE BEACH, SC 29577-5031
(859) 457-3082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7487
SC
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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