Individual provider · Type 1 NPI

Stephaine Anne Mathis

Counselor · Conway, SC

NPI number 1912923681 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Mailing address

1005 Rowe Pond Rd
Conway, SC 29526-7962

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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.

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About NPI 1912923681

Stephaine Anne Mathis's National Provider Identifier is 1912923681, issued on Jul 14, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Conway, SC. The record was last updated on Jul 8, 2007.