Lara Jennifer Tiberian
NPI #1124364799 in Mount Pleasant, South Carolina
Provider Information
- NPI Number
- 1124364799
- Entity Type
- Individual
- Name
- Lara Jennifer Tiberian
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 29, 2012
- Last Updated
- Jul 11, 2016
Practice Location
- Address
- 2108 SHORT GRASS CT
- City
- Mount Pleasant
- State
- South Carolina
- ZIP Code
- 29466-8161
- Phone
- (843) 343-1654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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