Individual
CAROLYN M. BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
890 BRIARWOOD DR, MYRTLE BEACH, SC 29572-5740
(843) 272-4114
Mailing address
890 BRIARWOOD DR, MYRTLE BEACH, SC 29572-5740
(843) 272-4114
(843) 272-4114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4735
SC
101YP2500X
Professional Counselor
801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102726
—
NC
Enumeration date
08/11/2006
Last updated
07/09/2007
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