Individual
TERESA Q HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1024 BRADFORD RIDGE LN, COLUMBIA, SC 29223-7143
(803) 665-2039
Mailing address
1024 BRADFORD RIDGE LN, COLUMBIA, SC 29223-7143
(803) 665-2039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
8557
SC
101YP2500X
Professional Counselor
Primary
8557
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/01/2020
Last updated
12/20/2023
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