Individual
YVONNE SIDDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 FLORENCE ST SW, AIKEN, SC 29801-3890
(803) 641-4177
Mailing address
104 FLORENCE ST SW, AIKEN, SC 29801-3890
(803) 641-4177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2821
SC
101YP2500X
Professional Counselor
3273
SC
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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