| Living Waters Professional Counseling Services, Inc | |
|
3236 Landmark Dr North Charleston SC 29418-8488 | |
| (843) 642-1492 | |
| Not Available |
| Full Name | Living Waters Professional Counseling Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 3236 Landmark Dr, North Charleston, South Carolina |
| Authorized Official Name and Position | Raphael P. Ekong (DIRECTOR/OFFICER) |
| Authorized Official Contact | 8436421492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Waters Professional Counseling Services, Inc 3236 Landmark Dr North Charleston SC 29418-8488 Ph: (843) 642-1492 | Living Waters Professional Counseling Services, Inc 3236 Landmark Dr North Charleston SC 29418-8488 Ph: (843) 642-1492 |
| NPI Number | 1043454796 |
|---|---|
| Provider Enumeration Date | 04/25/2009 |
| Last Update Date | 04/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043454796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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