Individual
VANESSA MIRANDA LOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,LPC, LPC-S
Contact information
Practice address
1340 CELEBRATION BLVD, UNIT A, FLORENCE, SC 29501-5585
(843) 536-1180
Mailing address
1004 ABIGAIL CT, FLORENCE, SC 29501-8193
(843) 468-6260
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6990
SC
101YM0800X
Mental Health Counselor
Primary
6990
SC
Other
Enumeration date
11/12/2015
Last updated
09/18/2023
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