Individual
MEGAN QUACKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
429 ROPER MOUNTAIN RD STE 901, GREENVILLE, SC 29615-4254
(864) 501-6951
Mailing address
4 MOHEGAN WAY, GREENVILLE, SC 29607-5162
(864) 501-6951
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
01362228
SC
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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