Individual
MR. GREGORY L DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LPCS,CACII, NCC
Contact information
Practice address
1620 LADY ST STE B, COLUMBIA, SC 29201-3482
(803) 622-0792
(803) 451-7604
Mailing address
1620 LADY ST STE B, COLUMBIA, SC 29201-3482
(803) 622-0792
(803) 451-7604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1005205
SC
101YM0800X
Mental Health Counselor
5134
SC
101YP2500X
Professional Counselor
Primary
5374
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000641104
WORKERS' COMP
SC
05
—
322842
—
SC
Enumeration date
05/21/2008
Last updated
02/28/2014
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