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Individual

MRS. FAITH TYNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1340 CELEBRATION BLVD, FLORENCE, SC 29501
(843) 536-1180
(843) 536-1116
Mailing address
1340 CELEBRATION BLVD, FLORENCE, SC 29501-5585
(843) 536-1180
(843) 536-1116

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6139
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1516
SC
Enumeration date
05/30/2013
Last updated
07/16/2018
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