Individual
SAMANTHA MOODY SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3012 MILLWOOD AVE, COLUMBIA, SC 29205-1807
(803) 470-6213
Mailing address
3012 MILLWOOD AVE, COLUMBIA, SC 29205-1807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11709
SC
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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