Individual
IRINA BRATNICHENKO ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-A
Contact information
Practice address
879 NE MAIN ST STE A, SIMPSONVILLE, SC 29681-2056
(864) 688-9416
Mailing address
296 HICKORY NUT RD, INMAN, SC 29349-9238
(941) 586-6292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8494
SC
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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