Individual
EDIT BELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1175 COOK RD STE 305, ORANGEBURG, SC 29118-8247
(803) 395-3715
(803) 395-3719
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 395-2237
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5666
SC
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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