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Dr. Charlene Annette Moore-peterson, EDD,LPC
Mental Health Counselor in Columbia, South Carolina
NPI 1730375486

Charlene Annette Moore-peterson is a Mental Health Counselor based in Columbia, SC and is specialized in Mental Health. Charlene Annette Moore-peterson practices in Columbia, SC and has the professional credentials of EDD,LPC. The NPI Number for Charlene Annette Moore-peterson is 1730375486 and holds a License No. 6666 (South Carolina).

The current practice location address for Charlene Annette Moore-peterson is 6454 Bridgewood Rd, Columbia, SC and can be reached out via phone at 803-500-5065.

Location: 6454 Bridgewood Rd, Columbia, SC, 29206-2126
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Provider Profile Details
NPI Number
1730375486
Provider Name
Charlene Annette Moore-peterson
Credential
EDD,LPC
Provider Entity Type
Individual
Gender
Female
Address
6454 Bridgewood Rd, Columbia, SC, 29206-2126
Phone Number
803-500-5065
Fax Number
Provider Enumeration Date
09/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421504 05 SC
institution
Provider Business Practice Location Address Details
Address
6454 Bridgewood Rd
City
State
Zip
29206-2126
Phone Number
803-500-5065
Fax Number
person
Provider Business Mailing Address Details
Address
6454 Bridgewood Rd
City
State
Zip
29206-2126
Phone Number
803-500-5065
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6666 (South Carolina)
Definition
Definition to come...
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