Individual
TASHA COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2080 BERMUDA DR, ORANGEBURG, SC 29115-9177
(812) 525-0387
Mailing address
2080 BERMUDA DR, ORANGEBURG, SC 29115-9177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004815A
IN
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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