Individual
TAMIKYA KAYLA STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCI
Contact information
Practice address
852 GOLD HILL RD, FORT MILL, SC 29708-7976
(803) 548-4044
(803) 548-4074
Mailing address
652 ARCH DR, ROCK HILL, SC 29730-5802
(803) 207-4452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5608
SC
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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