IAN DANIEL GAULT

FLORENCE, SC
NPI1528650199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: SC  7582)
Enumeration Date2021-02-05
Last Update Date2021-02-05
Business Address
Mr. IAN DANIEL GAULT MS, LPC-A
2143 HOFFMEYER RD STE B
FLORENCE, SC 29501-4078
Phone number: 843-256-2216
Mailing Address
Mr. IAN DANIEL GAULT MS, LPC-A
256 TRIPLE J LN
BENNETTSVILLE, SC 29512-8208
Phone number: 864-426-7044