Organization
CRESCENT MOON COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY R HERWIG LISW-CP (OWNER)
(803) 760-4738
Entity
Organization
Contact information
Practice address
1705 RICHLAND ST, COLUMBIA, SC 29201-2635
(803) 760-4738
Mailing address
1705 RICHLAND ST, COLUMBIA, SC 29201-2635
(803) 760-4738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9781
SC
Other
Enumeration date
05/03/2016
Last updated
01/03/2018
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