Individual provider · Type 1 NPI

Ethel Blake Bellamy

Professional Counselor · Conway, SC

NPI number 1891074290 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1022 (SC)
Professional Counselor Primary 101YP2500X1175 (SC)

Professional Counselor: Definition to come...

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About NPI 1891074290

Ethel Blake Bellamy's National Provider Identifier is 1891074290, issued on Aug 16, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conway, SC. The record was last updated on Aug 16, 2011.