Individual provider · Type 1 NPI
Kenza Grace Haddock
Counselor · Surfside Beach, SC
NPI number
1629610407
Active
Practice location
1500 Highway 17 N Ste 201H
Surfside Beach, SC 29575-6078
Mailing address
PO Box 31537
Myrtle Beach, SC 29588-0026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 6800 (SC) |
Counselor: 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.
About NPI 1629610407
Kenza Grace Haddock's National Provider Identifier is 1629610407, issued on Oct 12, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Surfside Beach, SC. The record was last updated on Oct 12, 2019.