Individual
CATHERINE PANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-I, CAC-P
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Mailing address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 347-4888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6132
SC
Other
Enumeration date
02/03/2014
Last updated
09/08/2015
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