NPI | 1063020618 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA ANN BLACK Licensed Professional Counselor 864-936-6910 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2020-07-20 |
Last Update Date | 2020-08-03 |