| Doctor Name: | BRIAN D MUSOLF |
| NPI Number: | 1003092511 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | |
| Business Practice Address: | 106 Springview Ln Summerville, SC - 294858108 |
| Business Phone Number: | 8438735063 |
| Business Fax Number: | |
| Mailing Address: | 106 Springview Ln, SUMMERVILLE |
| State: | SC |
| Postal Code: | 294858108 |
| Phone Number: | 8438735063 |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2008 |
| NPI Last Update Date: | 07/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |