Individual
MS. JOANN RISTAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
1107 48TH AVE N STE 310A, MYRTLE BEACH, SC 29577-5443
(843) 655-0379
(843) 655-0379
Mailing address
2615 CORN PILE RD, MYRTLE BEACH, SC 29588-8466
(843) 655-0379
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2703
SC
Other
Enumeration date
02/15/2016
Last updated
07/21/2022
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