Individual
MRS. TIFFANY COWARD MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5003 UNA RD, HARTSVILLE, SC 29550-1954
(843) 319-0075
Mailing address
609 BRANHAMS AIRPORT RD, DARLINGTON, SC 29532-6326
(843) 453-8925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8572
SC
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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