Individual
BAILEY COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2537 GERVAIS ST, COLUMBIA, SC 29204-2375
(803) 470-2795
Mailing address
2537 GERVAIS ST, COLUMBIA, SC 29204-2375
(803) 470-2795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10139
SC
101YP2500X
Professional Counselor
Primary
10139
SC
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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