Individual
MRS. TABATHA HOLLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1180 COLUMBIA AVE STE 203, IRMO, SC 29063-2890
(803) 407-0088
Mailing address
1180 COLUMBIA AVE STE 203, IRMO, SC 29063-2890
(803) 407-0088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9026
SC
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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