Individual
MARTINA TIMESHA BOULWARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
840 CREEK BLUFF RD, ROCK HILL, SC 29732-8267
(803) 448-5778
Mailing address
840 CREEK BLUFF RD, ROCK HILL, SC 29732-8267
(803) 448-5778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10935
SC
Other
Enumeration date
11/01/2024
Last updated
04/30/2025
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