Organization
COASTAL CAROLINA UNIVERSITY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIE M. CASSIDY PH.D. (DIRECTOR)
(843) 349-2305
Entity
Organization
Contact information
Practice address
204 UNIVERSITY BLVD., CONWAY, SC 29528-6054
(843) 349-2305
(843) 349-2898
Mailing address
204 UNIVERSITY BLVD., CONWAY, SC 29528-6054
(843) 349-2305
(843) 349-2898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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