Individual
K-LEIGH TACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
400 OTARRE PKWY, WEST COLUMBIA, SC 29033-3751
(803) 898-4191
Mailing address
108 RIGGS DR, LEXINGTON, SC 29072-5801
(803) 381-3157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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