Individual
JUDITH ANN EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2015 MARION ST, COLUMBIA, SC 29201-2113
(803) 898-0123
Mailing address
208 COVENTRY LAKE DR, LEXINGTON, SC 29072-2768
(803) 808-2741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
377
SC
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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