person
Tylette Newkirk, LPC
Professional Counselor in Ridgeway, South Carolina
NPI 1154693679

Tylette Newkirk is a Professional Counselor based in Columbia, SC and is specialized in Professional. Tylette Newkirk practices in Ridgeway, SC and has the professional credentials of LPC. The NPI Number for Tylette Newkirk is 1154693679 and holds a License No. 5655 (South Carolina).

The current practice location address for Tylette Newkirk is 755 Us Highway 21 S, Ridgeway, SC and can be reached out via phone at 803-337-2920 and via fax at 803-337-3010.

Location: 755 Us Highway 21 S, Ridgeway, SC, 29230-3788
person
Provider Profile Details
NPI Number
1154693679
Provider Name
Tylette Newkirk
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
755 Us Highway 21 S, Ridgeway, SC, 29230-3788
Phone Number
803-337-2920
Fax Number
803-337-3010
Provider Enumeration Date
01/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC1792 05 SC
institution
Provider Business Practice Location Address Details
Address
755 Us Highway 21 S
City
State
Zip
29130-6844
Phone Number
803-337-2920
Fax Number
803-337-3010
person
Provider Business Mailing Address Details
Address
755 Us Highway 21 S
City
State
Zip
29130-6844
Phone Number
803-337-2920
Fax Number
803-337-3010
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5655 (South Carolina)
Definition
Definition to come...
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