Individual
MISS JULIA TYESA MCCLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAC
Contact information
Practice address
187 W BROAD ST, SPARTANBURG, SC 29306-3234
(864) 580-9929
Mailing address
PO BOX 6703, SPARTANBURG, SC 29304-6703
(864) 580-9929
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5157
SC
Other
Enumeration date
06/07/2011
Last updated
06/04/2012
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