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Individual

MRS. VADONNA BENSON BARTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC, CACII

Contact information

Practice address
711 BARTELLS RD, LAKE CITY, SC 29560-7564
(843) 558-2786
Mailing address
711 BARTELLS RD, LAKE CITY, SC 29560-7564

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2298
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2298
LPC LICENSURE
SC
Enumeration date
06/17/2011
Last updated
06/17/2011
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