Tara D. Ancrum, LPC
NPI #1275086480 in Hollywood, South Carolina
Provider Information
- NPI Number
- 1275086480
- Entity Type
- Individual
- Name
- Tara D. Ancrum, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jul 25, 2016
- Last Updated
- Apr 21, 2022
Practice Location
- Address
- 5740 ANCRUM BUTLER LN
- City
- Hollywood
- State
- South Carolina
- ZIP Code
- 29449-7101
- Phone
- (843) 437-0372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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