Individual
ASHLEY MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
3809 ROSEWOOD DR, COLUMBIA, SC 29205-3533
(803) 786-1844
(803) 754-7783
Mailing address
PO BOX 4246, COLUMBIA, SC 29240-4246
(803) 786-1844
(803) 754-7783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
THE COMMISSION ON REHABILITATION COUNSELOR CERTIFICATION (CRCC)
—
Enumeration date
04/09/2014
Last updated
05/09/2016
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