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JUDITH KAY GROTENHUIS ED.S., NCAC, LPC

Addiction Substance Use Disorder

Conway, South Carolina

Provider NPI: 1962435776

Provider Information:
 JUDITH KAY GROTENHUIS ED.S., NCAC, LPC
Gender: F
Not Sole Proprietor

Practice Location:
164 WACCAMAW MEDICAL PARK DR  CONWAY, SC 29526 US
Tel: 843-347-5060  Fax: 843-347-4102

Business Mailing Address:
704 JAMIE LN  CONWAY, SC 29526 US
Tel: 843-347-4593  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
X101YP2500XBehavioral Health & Social Service Providers
Counselor
SC4662









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