Individual
HOUDA NIZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-A
Contact information
Practice address
128 S MAIN ST, TRAVELERS REST, SC 29690-1800
(801) 448-5255
Mailing address
9 BLACK KNOB CT, GREENVILLE, SC 29609-1597
(801) 448-5255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7329
SC
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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