Individual
TIA HOLTZCLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2715 COLONIAL DR, BLDG. 200-A, COLUMBIA, SC 29203-6818
(803) 360-7914
(803) 898-2194
Mailing address
2715 COLONIAL DR, BLDG. 200-A, COLUMBIA, SC 29203-6818
(803) 360-7914
(803) 898-2194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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