person
Mr. Larry Bert Medlin
Professional Counselor in Columbia, South Carolina
NPI 1841407566

Larry Bert Medlin is a Professional Counselor based in Columbia, SC and is specialized in Professional. Larry Bert Medlin practices in Columbia, SC. The NPI Number for Larry Bert Medlin is 1841407566 and holds a License No. 4654 (South Carolina).

The current practice location address for Larry Bert Medlin is 1500 Lady St, Columbia, SC and can be reached out via phone at 803-779-1995.

Location: 1500 Lady St, Columbia, SC, 29201-3402
person
Provider Profile Details
NPI Number
1841407566
Provider Name
Larry Bert Medlin
Credential
Provider Entity Type
Individual
Gender
Male
Address
1500 Lady St, Columbia, SC, 29201-3402
Phone Number
803-779-1995
Fax Number
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Lady St
City
State
Zip
29201-3402
Phone Number
803-779-1995
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Lady St
City
State
Zip
29201-3402
Phone Number
803-779-1995
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4654 (South Carolina)
Definition
Definition to come...
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