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Individual

MS. ESTHER STURDIVANT GALLIESHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDS, NCC, LPC, CFCM

Contact information

Practice address
1816 BULL ST, COLUMBIA, SC 29201-2506
(803) 238-8852
(888) 316-1802
Mailing address
1816 BULL ST, COLUMBIA, SC 29201-2506
(803) 238-8852
(888) 316-1802

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
5149
SC
101YM0800X
Mental Health Counselor
5149
SC
101YP2500X
Professional Counselor
Primary
5149
SC
171W00000X
Contractor
5149
SC

Other

Enumeration date
05/20/2009
Last updated
09/19/2015
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