Individual
MS. ANGELA LOUISE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LPC, LCMHC, LAC
Contact information
Practice address
2375 E MAIN ST STE A101, SPARTANBURG, SC 29307-1400
(864) 415-8640
(864) 415-8640
Mailing address
344 ROBIN HELTON DR, BOILING SPRINGS, SC 29316-5380
(864) 415-8640
(864) 541-7999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
336
SC
101YP2500X
Professional Counselor
Primary
4864
SC
101YP2500X
Professional Counselor
6631
NC
Other
Enumeration date
06/26/2007
Last updated
06/21/2022
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