Individual
LINETTE LEBRON OLIVENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 COLONIAL DR STE 100A, COLUMBIA, SC 29203-6818
(803) 898-4777
Mailing address
701 TOMS CREEK RD, HOPKINS, SC 29061-8790
(803) 290-3990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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