person
Amanda Tadlock, EDS,MA
Mental Health Counselor in Gaston, South Carolina
NPI 1659701829

Amanda Tadlock is a Mental Health Counselor based in Lexington, SC and is specialized in Mental Health. Amanda Tadlock practices in Gaston, SC and has the professional credentials of EDS,MA. The NPI Number for Amanda Tadlock is 1659701829 and holds a License No. 0701005494 (South Carolina).

The current practice location address for Amanda Tadlock is 3965 Fish Hatchery Rd, Gaston, SC and can be reached out via phone at 803-755-2261.

Location: 3965 Fish Hatchery Rd, Gaston, SC, 29072-7872
person
Provider Profile Details
NPI Number
1659701829
Provider Name
Amanda Tadlock
Credential
EDS,MA
Provider Entity Type
Individual
Gender
Female
Address
3965 Fish Hatchery Rd, Gaston, SC, 29072-7872
Phone Number
803-755-2261
Fax Number
Provider Enumeration Date
11/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3965 Fish Hatchery Rd
City
State
Zip
29053-9038
Phone Number
803-755-2261
Fax Number
person
Provider Business Mailing Address Details
Address
3965 Fish Hatchery Rd
City
State
Zip
29053-9038
Phone Number
803-755-2261
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701005494 (Virginia)
Definition
Definition to come...
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