Individual provider · Type 1 NPI

Simone Isabel Van Der Lee

Mental Health Counselor · Conway, SC

NPI number 1790504512 Active

Practice location

164 Waccamaw Medical Park Dr.
Conway, SC 29526

Call (843) 347-4888 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790504512

Simone Isabel Van Der Lee's National Provider Identifier is 1790504512, issued on Oct 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, SC. The record was last updated on Oct 8, 2024.