person
Judith Kay Grotenhuis, EDS,NCAC,LPC
Professional Counselor in Conway, South Carolina
NPI 1962435776

Judith Kay Grotenhuis is a Professional Counselor based in Conway, SC and is specialized in Professional. Judith Kay Grotenhuis practices in Conway, SC and has the professional credentials of EDS,NCAC,LPC. The NPI Number for Judith Kay Grotenhuis is 1962435776 and holds a License No. (South Carolina).

The current practice location address for Judith Kay Grotenhuis is 164 Waccamaw Medical Park Dr, Conway, SC and can be reached out via phone at 843-347-5060 and via fax at 843-347-4102.

Location: 164 Waccamaw Medical Park Dr, Conway, SC, 29526-8154
person
Provider Profile Details
NPI Number
1962435776
Provider Name
Judith Kay Grotenhuis
Credential
EDS,NCAC,LPC
Provider Entity Type
Individual
Gender
Female
Address
164 Waccamaw Medical Park Dr, Conway, SC, 29526-8154
Phone Number
843-347-5060
Fax Number
843-347-4102
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
164 Waccamaw Medical Park Dr
City
State
Zip
29526
Phone Number
843-347-5060
Fax Number
843-347-4102
person
Provider Business Mailing Address Details
Address
164 Waccamaw Medical Park Dr
City
State
Zip
29526
Phone Number
843-347-5060
Fax Number
843-347-4102
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4662 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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