Individual
MELISSA TYLER TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAC II, NCC
Contact information
Practice address
1304 AZALEA CT STE C, MYRTLE BEACH, SC 29577-5723
(843) 692-7177
Mailing address
1304 AZALEA CT STE C, MYRTLE BEACH, SC 29577-5723
(843) 692-7177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4762
SC
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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