Individual
TANYA CROSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 S MAIN ST, ANDERSON, SC 29624-1600
(864) 367-0949
(866) 448-9303
Mailing address
208 S MAIN ST, ANDERSON, SC 29624-1600
(864) 367-0949
(866) 448-9303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5408
SC
Other
Enumeration date
06/04/2012
Last updated
10/04/2013
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