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Individual

YAMAIRA NOEMI PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
1401 DEVINE ST, COLUMBIA, SC 29208-3926
(803) 777-5223
Mailing address
1401 DEVINE ST, COLUMBIA, SC 29208-3902
(860) 305-0722

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
8034
SC
101YP2500X
Professional Counselor
Primary
LPC.10955PC
SC

Other

Enumeration date
10/31/2014
Last updated
08/29/2025
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