Individual
MIKKA WARDDUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
80 LADYS ISLAND DR, BEAUFORT, SC 29907-1643
(843) 812-7199
(843) 986-0046
Mailing address
1606 EDINBURGH AVE, PORT ROYAL, SC 29935-1808
(843) 263-1714
(843) 263-1714
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4575
SC
Other
Enumeration date
01/24/2007
Last updated
08/28/2020
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