Individual
MRS. ASHLEY FAITH WADDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRC, LPC-A, CRC
Contact information
Practice address
3604 FERNANDINA RD STE G, COLUMBIA, SC 29210-5221
(419) 357-4174
Mailing address
3604 FERNANDINA RD STE G, COLUMBIA, SC 29210-5221
(419) 357-4174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6750
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
SELF-PAY
SC
Enumeration date
10/23/2019
Last updated
04/19/2020
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