Individual
MRS. VIANCA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
407 HAYNE AVE SW STE B, AIKEN, SC 29801-2408
(803) 716-8867
Mailing address
111 E MARION AVE # 141, NORTH AUGUSTA, SC 29841-2935
(803) 716-8867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7131
SC
Other
Enumeration date
10/29/2019
Last updated
10/18/2020
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