person
Ms. Judy Durrah Lassiter, MA
Mental Health Counselor in Columbia, South Carolina
NPI 1396043618

Judy Durrah Lassiter is a Mental Health Counselor based in Columbia, SC and is specialized in Mental Health. Judy Durrah Lassiter practices in Columbia, SC and has the professional credentials of MA. The NPI Number for Judy Durrah Lassiter is 1396043618 and holds a License No. SC LPC 5254 (South Carolina).

The current practice location address for Judy Durrah Lassiter is 2712 Middleburg Dr, Columbia, SC and can be reached out via phone at 803-779-0354 and via fax at 803-779-0119.

Location: 2712 Middleburg Dr, Columbia, SC, 29204-2415
person
Provider Profile Details
NPI Number
1396043618
Provider Name
Judy Durrah Lassiter
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
2712 Middleburg Dr, Columbia, SC, 29204-2415
Phone Number
803-779-0354
Fax Number
803-779-0119
Provider Enumeration Date
03/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
582444986 01 SC PRIVATE INSURANCE
institution
Provider Business Practice Location Address Details
Address
2712 Middleburg Dr
City
State
Zip
29204-2415
Phone Number
803-779-0354
Fax Number
803-779-0119
person
Provider Business Mailing Address Details
Address
2712 Middleburg Dr
City
State
Zip
29204-2415
Phone Number
803-779-0354
Fax Number
803-779-0119
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
SC LPC 5254 (South Carolina)
Definition
Definition to come...
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