Individual
MR. COLEMAN J CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-3591
(843) 792-1414
Mailing address
67 PRESIDENT ST, CHARLESTON, SC 29425-5712
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
182
HI
106H00000X
Marriage & Family Therapist
Primary
6967
SC
Other
Enumeration date
10/27/2009
Last updated
07/14/2024
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