Individual
MRS. ASHLEY V EADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
1103 BELLEVIEW ST, COLUMBIA, SC 29201-1871
(803) 606-7171
Mailing address
4 WILD IRIS CT, COLUMBIA, SC 29209
(864) 378-2613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5744
SC
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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