Individual
KARISSA RECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 HIGHWAY 1 S STE B, LUGOFF, SC 29078-9460
(803) 708-0902
Mailing address
1443 HIGHWAY 1 S STE B, LUGOFF, SC 29078-9460
(803) 708-0902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8417
SC
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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