Organization
CANTERBURY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION B CROOKS JR. LISW-CP (DIRECTOR)
(864) 235-7501
Entity
Organization
Contact information
Practice address
7 PETTIGRU ST, GREENVILLE, SC 29601-3000
(864) 235-7501
(864) 235-7503
Mailing address
7 PETTIGRU ST, GREENVILLE, SC 29601-3000
(864) 235-7501
(864) 235-7503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3664
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17089H001
HIGHMARK, INC
PA
01
—
29219B001
BCBS OF SC
SC
01
—
29219T001
TRICARE FOR LIFE
SC
01
—
29260P001
PLANNED ADMINISTRATORS
SC
01
—
68131M001
MUTUAL OF OMAHA
NE
Enumeration date
02/13/2007
Last updated
06/23/2008
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