Individual
OLIVIA DORSEY TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2917 MILLWOOD AVE STE B, COLUMBIA, SC 29205-1334
(803) 489-8718
Mailing address
3265 LEXINGTON WAY, AUGUSTA, GA 30909-9235
(706) 855-9746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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