Individual
JUDITH KAY GROTENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCAC, LPC
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526
(843) 347-5060
(843) 347-4102
Mailing address
704 JAMIE LN, CONWAY, SC 29526-8154
(843) 347-4593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
4662
SC
Other
Enumeration date
07/08/2006
Last updated
09/11/2025
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