Individual provider · Type 1 NPI
Tracey L. Boyle, LPC
Professional Counselor · Columbia, SC
NPI number
1396977443
Active
Practice location
1521 Brockwall Dr
Columbia, SC 29206-4410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0807151 (SC) |
| Professional Counselor Primary | 101YP2500X | 5010 (SC) |
Professional Counselor: Definition to come...
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About NPI 1396977443
Tracey L. Boyle, LPC's National Provider Identifier is 1396977443, issued on Aug 21, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, SC. The record was last updated on Aug 21, 2009.