Individual
MS. GENEVIEVE ELISABETH LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2715 COLONIAL DR STE 100B, COLUMBIA, SC 29203-6818
(803) 898-4800
(803) 898-4044
Mailing address
2715 COLONIAL DR STE 100B, COLUMBIA, SC 29203-6818
(803) 898-4800
(803) 898-4044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5272
SC
101YP2500X
Professional Counselor
Primary
5272
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
05
—
322842SC
—
SC
Enumeration date
12/05/2007
Last updated
08/17/2023
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