Individual
MRS. TRACEY L BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1521 BROCKWALL DR, COLUMBIA, SC 29206-4410
(803) 404-0046
Mailing address
1521 BROCKWALL DR, COLUMBIA, SC 29206-4410
(803) 404-0046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0807151
SC
101YP2500X
Professional Counselor
Primary
5010
SC
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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