| Coastal Carolina University Counseling Services | |
|
204 University Blvd. Conway SC 29528-6054 | |
| (843) 349-2305 | |
| (843) 349-2898 |
| Full Name | Coastal Carolina University Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 204 University Blvd., Conway, South Carolina |
| Authorized Official Name and Position | Jennie M. Cassidy (DIRECTOR) |
| Authorized Official Contact | 8433492305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina University Counseling Services 204 University Blvd. Conway SC 29528-6054 Ph: (843) 349-2305 | Coastal Carolina University Counseling Services 204 University Blvd. Conway SC 29528-6054 Ph: (843) 349-2305 |
| NPI Number | 1780718130 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780718130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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