Individual
THATCHER REID COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
(803) 229-0682
Mailing address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7520
SC
101YP2500X
Professional Counselor
7520
SC
Other
Enumeration date
10/14/2020
Last updated
02/16/2021
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