Individual
TERESA C NESMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
607 MAIN ST, CONWAY, SC 29526-4339
(843) 385-0795
Mailing address
603 BAKER CT, MYRTLE BEACH, SC 29579-6900
(843) 254-9390
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7069
SC
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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