person
Amy Vitacolonna, BS
Mental Health Counselor in Florence, South Carolina
NPI 1497116875

Amy Vitacolonna is a Mental Health Counselor based in Florence, SC and is specialized in Mental Health. Amy Vitacolonna practices in Florence, SC and has the professional credentials of BS. The NPI Number for Amy Vitacolonna is 1497116875 and holds a License No. (South Carolina).

The current practice location address for Amy Vitacolonna is 144 Timberlake Dr, Florence, SC and can be reached out via phone at 360-349-8775 and via fax at 843-897-0100. You can also correspond with Amy Vitacolonna through the mailing address at 144 TIMBERLAKE DR, FLORENCE, SC - 29501-9309 (mailing address contact number: 360-349-8775).

Location: 144 Timberlake Dr, Florence, SC, 29501-9309
person
Provider Profile Details
NPI Number
1497116875
Provider Name
Amy Vitacolonna
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
144 Timberlake Dr, Florence, SC, 29501-9309
Phone Number
360-349-8775
Fax Number
843-897-0100
Provider Enumeration Date
03/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85-2743925 01 WA IRS
8246 01 SC SOUTH CAROLINA LICENSING BOARD FOR COUNSELORS
LH60943631 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
144 Timberlake Dr
City
State
Zip
29501-9309
Phone Number
360-349-8775
Fax Number
843-897-0100
person
Provider Business Mailing Address Details
Address
144 Timberlake Dr
City
State
Zip
29501-9309
Phone Number
360-349-8775
Fax Number
843-897-0100
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Washington)
Definition
Definition to come...
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