Individual
CHRISTINA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
208 KING ST, CAMDEN, SC 29020-4720
(803) 324-6902
Mailing address
332 PINNACLE RIDGE DR, COLUMBIA, SC 29229-7076
(813) 215-1513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7652
SC
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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