Individual provider · Type 1 NPI

Tia Holtzclaw, M.A.

Mental Health Counselor · Columbia, SC

NPI number 1700136504 Active

Practice location

2715 Colonial Dr, Bldg. 200-A
Columbia, SC 29203-6818

Fax (803) 898-2194

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700136504

Tia Holtzclaw, M.A.'s National Provider Identifier is 1700136504, issued on Sep 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, SC. The record was last updated on Sep 19, 2012.