Individual
TARA MORRIS BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
180 MAGNOLIA ST, ROOM 201, SPARTANBURG, SC 29306-2359
(864) 562-4210
Mailing address
180 MAGNOLIA ST, ROOM 201, SPARTANBURG, SC 29306-2359
(864) 562-4210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5350
SC
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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