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Individual

MANDY NULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1105 BELLEVIEW ST STE 101103, COLUMBIA, SC 29201-1839
(843) 442-2200
Mailing address
1600 MAPLE ST APT 2, COLUMBIA, SC 29205-1267
(803) 361-6992

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9281
SC

Other

Enumeration date
11/03/2021
Last updated
11/21/2023
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