Individual
TIMOTHY BEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1330 RICHLAND ST, COLUMBIA, SC 29201-2522
(803) 250-6193
Mailing address
1330 RICHLAND ST, COLUMBIA, SC 29201-2522
(803) 250-6193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5622
SC
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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