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Chaniqua Desiree Mazyck, BA
Counselor in Chesterfield, South Carolina
NPI 1396261012

Chaniqua Desiree Mazyck is a Counselor based in Bennettsville, SC. Chaniqua Desiree Mazyck practices in Chesterfield, SC and has the professional credentials of BA. The NPI Number for Chaniqua Desiree Mazyck is 1396261012 and holds a License No. (South Carolina).

The current practice location address for Chaniqua Desiree Mazyck is 207 Commerce Ave, Chesterfield, SC and can be reached out via phone at 843-623-2229.

Location: 207 Commerce Ave, Chesterfield, SC, 29512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396261012
Provider Name
Chaniqua Desiree Mazyck
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
207 Commerce Ave, Chesterfield, SC, 29512
Phone Number
843-623-2229
Fax Number
Provider Enumeration Date
08/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405127 05 SC
institution
Provider Business Practice Location Address Details
Address
207 Commerce Ave
City
Chesterfield
State
South Carolina
Zip
29709
Phone Number
843-623-2229
Fax Number
person
Provider Business Mailing Address Details
Address
207 Commerce Ave
City
Chesterfield
State
South Carolina
Zip
29709
Phone Number
843-623-2229
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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