Individual provider · Type 1 NPI

Lawanda Shavonte Mack

Professional Counselor · Camden, SC

NPI number 1942086566 Active

Practice location

208 King St
Camden, SC 29020-4720

Mailing address

1910 Nearview Ave
Columbia, SC 29223-3730

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1942086566

Lawanda Shavonte Mack's National Provider Identifier is 1942086566, issued on Sep 8, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Camden, SC. The record was last updated on Sep 8, 2023.