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Individual

MS. CIRI HALEY COLEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, MDIV, LPC, CAC

Contact information

Practice address
207 LUCAS STREET, SUITE D-1, MT. PLEASANT, SC 29464
(843) 814-3348
Mailing address
671 BUCKHALL CT, MT PLEASANT, SC 29464-3569
(843) 814-3348

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0909292
SC
101YP2500X
Professional Counselor
Primary
2801
SC

Other

Enumeration date
06/15/2010
Last updated
06/15/2010
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