Individual
TANNER SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 N PINE ST, SENECA, SC 29678-3106
(864) 723-4550
Mailing address
231 TAYLOR RD, WEST UNION, SC 29696-3317
(864) 985-8625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7827
SC
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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