Provider Demographics
NPI:1710917737
Name:SARNOFF, PEPPER L (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:PEPPER
Middle Name:L
Last Name:SARNOFF
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GAMECOCK AVE
Mailing Address - Street 2:SUITE 706
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3379
Mailing Address - Country:US
Mailing Address - Phone:843-556-8503
Mailing Address - Fax:843-556-8525
Practice Address - Street 1:7 GAMECOCK AVE
Practice Address - Street 2:SUITE 706
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3379
Practice Address - Country:US
Practice Address - Phone:843-556-8503
Practice Address - Fax:843-556-8525
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1918101YP2500X
SC2218106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist