Individual
TIFFANY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3800 FOREST DR, STE A-204, COLUMBIA, SC 29204-4146
(803) 790-2025
Mailing address
3800 FOREST DR, STE A-204, COLUMBIA, SC 29204-4146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451
SC
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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