Provider First Line Business Practice Location Address:
499 CHESTNUT RIDGE RD
Provider Second Line Business Practice Location Address:
THE PASTORAL COUNSELING CENTER OF CHESTNUT RIDGE
Provider Business Practice Location Address City Name:
LAURENS
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29360-6843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-293-7585
Provider Business Practice Location Address Fax Number:
864-859-9648
Provider Enumeration Date:
12/18/2006