Individual
TANYA MARLETTA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 THOMPSON AVE, NORTH AUGUSTA, SC 29841
(803) 593-4700
Mailing address
125 THOMPSON AVE, NORTH AUGUSTA, SC 29841-4822
(803) 593-4700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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