Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | SC |
NPI | 1003087198 |
---|---|
Provider Name | Melissa Solomon-Craft |
First Address | Beaufort, SC 29906-8970 |
Second Address | Beaufort, SC 29906-8970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2008 |
Last Update Date | 09/03/2021 |