Individual
BRYAN MITCHELL RABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, LPC
Contact information
Practice address
1633 S LAKE DR, LEXINGTON, SC 29073-7755
(803) 520-8295
Mailing address
2214 OLD CHEROKEE RD, LEXINGTON, SC 29072-9725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5195
SC
Other
Enumeration date
09/19/2007
Last updated
05/20/2022
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