Individual
DESTINY TIERRA WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7968
(803) 996-1500
Mailing address
33 LYNE COVE CT, IRMO, SC 29063-2075
(843) 229-6272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
05/01/2023
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