Individual
AMY MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
245 BUSINESS PARK BLVD, COLUMBIA, SC 29203-9659
(803) 744-0841
Mailing address
245 BUSINESS PARK BLVD, COLUMBIA, SC 29203-9659
(803) 744-0841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7555
SC
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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