Individual provider · Type 1 NPI
Lara Jennifer Tiberian
Professional Counselor · Mount Pleasant, SC
NPI number
1124364799
Active
Practice location
2108 Short Grass Ct
Mount Pleasant, SC 29466-8161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4236 (SC) |
Professional Counselor: Definition to come...
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About NPI 1124364799
Lara Jennifer Tiberian's National Provider Identifier is 1124364799, issued on Dec 29, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Pleasant, SC. The record was last updated on Jul 11, 2016.