Individual
TEANNE OEHLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1601 N OAK ST, SUITE 107, MYRTLE BEACH, SC 29577-3579
(843) 946-3577
(843) 946-3507
Mailing address
PO BOX 3303, MYRTLE BEACH, SC 29578-3303
(843) 946-3507
(843) 946-3507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000138
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QM0167
—
SC
Enumeration date
02/24/2006
Last updated
07/09/2007
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