Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003153610 |
---|---|
Provider Name | Medlinda S Garrison |
First Address | Lancaster, SC 29720-7579 |
Second Address | Rock Hill, SC 29730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2013 |
Last Update Date | 16/01/2013 |