Individual
MRS. NICOLE LYNN HAUNROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2105 CROMLEY CIR STE B, MYRTLE BEACH, SC 29577-3168
(843) 995-9025
Mailing address
2105 CROMLEY CIR STE B, MYRTLE BEACH, SC 29577-3168
(843) 995-9025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7740
SC
Other
Enumeration date
03/08/2019
Last updated
07/27/2023
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