Individual
MS. LEAH SUZANNE ECKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC/A
Contact information
Practice address
6334 SAINT ANDREWS RD STE 103, COLUMBIA, SC 29212-3143
(803) 764-0961
(803) 764-4089
Mailing address
6334 SAINT ANDREWS RD STE 103, COLUMBIA, SC 29212-3143
(803) 764-0961
(803) 764-4089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7618
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7008
—
SC
Enumeration date
07/19/2022
Last updated
07/19/2022
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