Individual
MR. RAPHAEL PATRICK EKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3236 LANDMARK DR, NORTH CHARLESTON, SC 29418-8488
(843) 642-1492
Mailing address
215 SETH CT, GOOSE CREEK, SC 29445-3638
(843) 642-1492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5026
SC
Other
Enumeration date
03/02/2007
Last updated
04/07/2009
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