Individual
BROOKE BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 QUEEN ST STE D&E, GEORGETOWN, SC 29440-3633
(843) 849-4029
Mailing address
103 QUEEN ST STE E, GEORGETOWN, SC 29440-3633
(843) 849-4029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH12078
FL
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
8842
SC
101YS0200X
School Counselor
—
FL
Other
Enumeration date
01/25/2018
Last updated
04/25/2024
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