Individual
LYDIA WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C. - M.H.P.
Contact information
Practice address
1119 3RD AVE, CONWAY, SC 29526-5135
(803) 394-7850
Mailing address
513 FOLKSTONE RD, COLUMBIA, SC 29223-5019
(803) 331-1554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
04/12/2012
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