Individual provider · Type 1 NPI
Tessa Virginia Pegram Trask, MA LPC
Professional Counselor · Charleston, SC
NPI number
1609340942
Active
Practice location
507 Savannah Hwy
Charleston, SC 29407-7209
Mailing address
490 W Wimbledon Dr
Charleston, SC 29412-2918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6942 (SC) |
Professional Counselor: Definition to come...
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About NPI 1609340942
Tessa Virginia Pegram Trask, MA LPC's National Provider Identifier is 1609340942, issued on Jan 21, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charleston, SC. The record was last updated on Jan 21, 2019.