Individual provider · Type 1 NPI

Matrice Sharnan Rouse

Mental Health Counselor · Blythewood, SC

NPI number 1679690572 Active

Practice location

200 Claude Bundrick Rd
Blythewood, SC 29016-9420

Mailing address

111 Elders Pond Cir Apt 13C
Columbia, SC 29229-8164

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1507 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1679690572

Matrice Sharnan Rouse's National Provider Identifier is 1679690572, issued on Mar 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blythewood, SC. The record was last updated on Jul 8, 2007.