Individual
MRS. TARA WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
720 MAGNOLIA RD STE 8, CHARLESTON, SC 29407-7094
(843) 276-3977
Mailing address
720 MAGNOLIA RD STE 8, CHARLESTON, SC 29407-7094
(843) 276-3977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6363
SC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6363
SC
Other
Enumeration date
05/06/2016
Last updated
02/05/2023
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