person
Dr. Linda Cooper Lack, PHD
Professional Counselor in Myrtle Beach, South Carolina
NPI 1043357064

Linda Cooper Lack is a Professional Counselor based in Myrtle Beach, SC and is specialized in Professional. Linda Cooper Lack practices in Myrtle Beach, SC and has the professional credentials of PHD. The NPI Number for Linda Cooper Lack is 1043357064 and holds a License No. 1776 (South Carolina).

The current practice location address for Linda Cooper Lack is 1371 Wading Bird Lane, Myrtle Beach, SC and can be reached out via phone at 843-448-6516. You can also correspond with Linda Cooper Lack through the mailing address at PO BOX 70478, MYRTLE BEACH, SC - 29572-0026 (mailing address contact number: 843-602-4284).

Location: 1371 Wading Bird Lane, Myrtle Beach, SC, 29572-0026
person
Provider Profile Details
NPI Number
1043357064
Provider Name
Linda Cooper Lack
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1371 Wading Bird Lane, Myrtle Beach, SC, 29572-0026
Phone Number
843-448-6516
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1371 Wading Bird Lane
City
State
Zip
29577
Phone Number
843-448-6516
Fax Number
person
Provider Business Mailing Address Details
Address
1371 Wading Bird Lane
City
State
Zip
29577
Phone Number
843-448-6516
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1776 (South Carolina)
Definition
Definition to come...
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