Individual
TIERRA MONIQUE' BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 ORION WAY, MONCKS CORNER, SC 29461-6897
(843) 640-0079
Mailing address
431 ST JAMES AVENUE SUITE L, BOX 107, GOOSE CREEK, SC 29445
(843) 640-0079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8665
SC
101YP2500X
Professional Counselor
Primary
11316
SC
Other
Enumeration date
09/06/2023
Last updated
09/04/2025
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