Individual
AUSTIN TY CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
305 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
Mailing address
305 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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