Individual
RONNIE MCCARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
25 WOODS LAKE RD, SUITE 412, GREENVILLE, SC 29607-6125
(864) 553-6741
Mailing address
507 CLIMBING ROSE CT, FOUNTAIN INN, SC 29644-3514
(864) 520-4476
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5217
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12389770
CAQH
SC
05
—
PC1108
—
SC
Enumeration date
10/16/2013
Last updated
03/11/2017
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