Individual
DR. TIA D. BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMIN., LCCC, NCC, LP
Contact information
Practice address
531 OXFORD ST STE A, SUMTER, SC 29150
(803) 565-3878
(877) 828-9472
Mailing address
531 OXFORD ST STE A, SUMTER, SC 29150-3300
(803) 565-3878
(877) 828-9472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6810
SC
101YP1600X
Pastoral Counselor
13741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13741
LICENSED CLINICAL CHRISTIAN COUNSELOR NCCA
FL
05
—
PC1931
—
SC
Enumeration date
02/03/2011
Last updated
06/11/2019
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