Individual
MISS PAMELA CYRESE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII, LPCS
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3918
(864) 467-3757
Mailing address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3918
(864) 467-3757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1112126
SC
101YP2500X
Professional Counselor
Primary
5323
SC
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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