NPI | 1679271290 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHELLA GORE Licensed Professional Counselor 843-212-6505 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-02-22 |
Last Update Date | 2023-02-22 |