Individual
LAURA VILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MED
Contact information
Practice address
430 WOODRUFF RD STE 450, GREENVILLE, SC 29607-3443
(864) 400-5130
Mailing address
472 HUNT AVE, RICHMOND, VA 23222-2852
(423) 580-1573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9881
SC
Other
Enumeration date
04/18/2023
Last updated
09/24/2024
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