Individual
MRS. TANYA EVETTE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5000 THURMOND MALL, SUITE 309, COLUMBIA, SC 29201
(803) 252-7952
(803) 252-7953
Mailing address
810 DUTCH SQUARE BLVD STE 460, COLUMBIA, SC 29210-7327
(803) 447-3230
(803) 798-7541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4603
SC
Other
Enumeration date
09/29/2011
Last updated
07/03/2019
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