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Kenza Grace Haddock
Counselor in Surfside Beach, South Carolina
NPI 1629610407

Kenza Grace Haddock is a Counselor based in Myrtle Beach, SC. Kenza Grace Haddock practices in Surfside Beach, SC. The NPI Number for Kenza Grace Haddock is 1629610407 and holds a License No. 6800 (South Carolina).

The current practice location address for Kenza Grace Haddock is 1500 Highway 17 N Ste 201H, Surfside Beach, SC and can be reached out via phone at 843-284-7147.

Location: 1500 Highway 17 N Ste 201H, Surfside Beach, SC, 29588-0026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629610407
Provider Name
Kenza Grace Haddock
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 Highway 17 N Ste 201H, Surfside Beach, SC, 29588-0026
Phone Number
843-284-7147
Fax Number
Provider Enumeration Date
10/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 Highway 17 N Ste 201H
City
Surfside Beach
State
South Carolina
Zip
29575-6078
Phone Number
843-284-7147
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Highway 17 N Ste 201H
City
Surfside Beach
State
South Carolina
Zip
29575-6078
Phone Number
843-284-7147
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6800 (South Carolina)
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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