Individual
MS. TARA LYNN CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LPC
Contact information
Practice address
444B BROAD ST, SUMTER, SC 29150-4157
(803) 883-4981
(803) 883-5492
Mailing address
444B BROAD ST, SUMTER, SC 29150-4157
(803) 883-4981
(803) 883-5492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6425
SC
101YP2500X
Professional Counselor
Primary
6425
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1694
—
SC
Enumeration date
11/12/2015
Last updated
10/11/2016
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