Individual
LEAH ELLEN TOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1612 MARION ST, COLUMBIA, SC 29201-2939
(803) 369-8340
Mailing address
6116 SHAKESPEARE RD, COLUMBIA, SC 29223-7306
(251) 367-8257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9000
SC
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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