Doctor Name: | MS. JOANNE MARIE MASTERS |
NPI Number: | 1326052150 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 161 Landmark Dr Taylors, SC - 296872819 |
Business Phone Number: | 8642440154 |
Business Fax Number: | 8646095003 |
Mailing Address: | 161 Landmark Dr, TAYLORS |
State: | SC |
Postal Code: | 296872819 |
Phone Number: | 8642440154 |
Fax Number: | 8646095003 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 01/22/2015 |
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: |