Individual
DAYNISHA SHAQUANNA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1375 GILWAY STREET, HOLLY HILL, SC 29059
(803) 496-3410
Mailing address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
576000922
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576000922
BEHAVIORAL HEALTH & SOCIAL SERVICE PROVIDERS
SC
Enumeration date
08/10/2022
Last updated
08/10/2022
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