Individual
MRS. CARMEN CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
691 S OAK ST, SENECA, SC 29678-3827
(864) 882-7563
(864) 882-7388
Mailing address
691 S OAK ST, SENECA, SC 29678-3827
(864) 882-7563
(864) 882-7388
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
178006918
IL
101YM0800X
Mental Health Counselor
178006918
IL
101YP2500X
Professional Counselor
Primary
180013973
IL
Other
Enumeration date
08/26/2013
Last updated
01/24/2024
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