person
Tara D. Ancrum, LPC
Professional Counselor in Hollywood, South Carolina
NPI 1275086480

Tara D. Ancrum is a Professional Counselor based in Hollywood, SC and is specialized in Professional. Tara D. Ancrum practices in Hollywood, SC and has the professional credentials of LPC. The NPI Number for Tara D. Ancrum is 1275086480 and holds a License No. 6589 (South Carolina).

The current practice location address for Tara D. Ancrum is 5740 Ancrum Butler Ln, Hollywood, SC and can be reached out via phone at 843-437-0372.

Location: 5740 Ancrum Butler Ln, Hollywood, SC, 29449-7101
person
Provider Profile Details
NPI Number
1275086480
Provider Name
Tara D. Ancrum
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
5740 Ancrum Butler Ln, Hollywood, SC, 29449-7101
Phone Number
843-437-0372
Fax Number
Provider Enumeration Date
07/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
435201 05 SC
institution
Provider Business Practice Location Address Details
Address
5740 Ancrum Butler Ln
City
State
Zip
29449-7101
Phone Number
843-437-0372
Fax Number
person
Provider Business Mailing Address Details
Address
5740 Ancrum Butler Ln
City
State
Zip
29449-7101
Phone Number
843-437-0372
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6126 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6589 (South Carolina)
Definition
Definition to come...
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