Individual
CHRISTINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
12 EXECUTIVE CT, LAKE WYLIE, SC 29710-9338
(803) 295-0005
Mailing address
12 EXECUTIVE CT, LAKE WYLIE, SC 29710-9338
(803) 295-0005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5626
SC
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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