Individual
OPAL A FULWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
115 ATRIUM WAY, COLUMBIA, SC 29223-6371
(844) 261-8679
(803) 699-8824
Mailing address
115 ATRIUM WAY, COLUMBIA, SC 29223-6371
(844) 261-8679
(803) 699-8824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7670
SC
Other
Enumeration date
09/06/2018
Last updated
03/03/2025
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