Doctor Name: | MS. CIRI HALEY COLEE |
NPI Number: | 1780905653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, MDIV, LPC, CAC |
License Number: | 0909292 |
Business Practice Address: | 207 Lucas Street Suite D-1 Mt. Pleasant, SC - 29464 |
Business Phone Number: | 8438143348 |
Business Fax Number: | |
Mailing Address: | 671 Buckhall Ct, MT PLEASANT |
State: | SC |
Postal Code: | 294643569 |
Phone Number: | 8438143348 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2010 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0909292 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |