| NPI | 1023220829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLA JEAN NOLAN-KOHNER Psychotherapist 843-470-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 3998) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |