Individual
MR. SPENCER WALKER JOSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CACII
Contact information
Practice address
1304-A AZALEA COU, MYRTLE BEACH, SC 29577
(843) 467-9538
Mailing address
3602 FARMINGTON PL, MYRTLE BEACH, SC 29579-7025
(843) 467-9538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12080115
SC
101YM0800X
Mental Health Counselor
5536
SC
101YP2500X
Professional Counselor
Primary
5536
SC
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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