CASEY SCOTT LAKE

MYRTLE BEACH, SC
NPI1588424683
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2024-03-19
Last Update Date2024-03-19
Business Address
MR. CASEY SCOTT LAKE LPCA
[email protected] 141 MCDONALD COURT MYRTLE BEACH SC 29588
MYRTLE BEACH, SC 29588
Phone number: 843-294-0646
Mailing Address
MR. CASEY SCOTT LAKE LPCA
[email protected] 141 MCDONALD COURT MYRTLE BEACH SC 29588
MYRTLE BEACH, SC 29588
Phone number: 843-294-0646
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