person
Churchill Grey Bracken
Mental Health Counselor in Conway, South Carolina
NPI 1164885364

Churchill Grey Bracken is a Mental Health Counselor based in Conway, SC and is specialized in Mental Health. Churchill Grey Bracken practices in Conway, SC. The NPI Number for Churchill Grey Bracken is 1164885364 and holds a License No. (South Carolina).

The current practice location address for Churchill Grey Bracken is 164 Waccamaw Medical Park Dr, Conway, SC and can be reached out via phone at 843-347-5060.

Location: 164 Waccamaw Medical Park Dr, Conway, SC, 29526-8903
person
Provider Profile Details
NPI Number
1164885364
Provider Name
Churchill Grey Bracken
Credential
Provider Entity Type
Individual
Gender
Female
Address
164 Waccamaw Medical Park Dr, Conway, SC, 29526-8903
Phone Number
843-347-5060
Fax Number
Provider Enumeration Date
04/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
164 Waccamaw Medical Park Dr
City
State
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider Business Mailing Address Details
Address
164 Waccamaw Medical Park Dr
City
State
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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