Individual
MANDY MICHELLE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3896 LEEDS AVE STE 202, NORTH CHARLESTON, SC 29405-7479
(843) 642-7572
(843) 405-1325
Mailing address
3896 LEEDS AVE STE 202, NORTH CHARLESTON, SC 29405-7479
(843) 642-7572
(843) 405-1325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6638
SC
101YM0800X
Mental Health Counselor
MH 12060
FL
Other
Enumeration date
03/18/2014
Last updated
07/10/2019
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