Individual
MR. THOMAS SHANE AXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
355 WOODRUFF RD, GREENVILLE, SC 29607-3429
(864) 350-6335
Mailing address
PO BOX 25538, GREENVILLE, SC 29616-0538
(864) 286-1500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4727
SC
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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