Individual
MS. THERESA LUCILLE BOZZA-HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CMHIMP
Contact information
Practice address
4505 MARSHWOOD DR., MYRTLE BEACH, SC 29579
(843) 349-0458
Mailing address
4505 MARSHWOOD DR., MYRTLE BEACH, SC 29579
(843) 349-0458
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6853
SC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/07/2006
Last updated
03/22/2023
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