Individual
ROXIE C MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2375 E MAIN ST STE 103, SPARTANBURG, SC 29307-1434
(864) 581-2631
(864) 602-6736
Mailing address
1667 HIGHWAY 11 W, CHESNEE, SC 29323-9330
(864) 581-2631
(864) 602-6736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
6400
SC
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
04/05/2010
Last updated
09/21/2023
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