Individual
TINESHA L CROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
104 MISTY GLEN CIR, IRMO, SC 29063-8153
(803) 807-3778
Mailing address
104 MISTY GLEN CIR, IRMO, SC 29063-8153
(803) 807-3778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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