Most Relevant Information
Provider Data
| NPI Number: | 1003640160 |
| Provider Name: | STEPHANIE RUTH COE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 10140 |
Most Important Dates
| Enumeration Date: | 08/29/2024 |
| Last Updated: | 08/29/2024 |
Provider Practice Location
121 EXECUTIVE CENTER DR STE 102
COLUMBIA
SC
292108418
Practice Location Phone/Fax
| Phone: | 8033937873 |
| Fax: |
Provider Mailing Location
1504 GRANBY RD
CAYCE
SC
290332224
Provider Mailing Phone/Fax
| Phone: | 8033185956 |
| Fax: |