Provider Demographics
NPI:1093764995
Name:SUDOL, MARGARET (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:SUDOL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 ASHLEY TOWN CENTER DRIVE
Mailing Address - Street 2:PO BOX 80157
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6060
Mailing Address - Country:US
Mailing Address - Phone:843-817-8443
Mailing Address - Fax:843-573-5030
Practice Address - Street 1:3030 ASHLEY TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5664
Practice Address - Country:US
Practice Address - Phone:843-817-8443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4475106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist