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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WALLACE JERRY WALDROP JR., LMFT

Active Sole Proprietor

MR. WALLACE JERRY WALDROP JR., LMFT is a Marriage & Family Therapist healthcare provider located in COLUMBIA, South Carolina. NPI 1891224283 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · COLUMBIA, SC

Registration Details

NPI Number
1891224283
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2017 (9.1749366697136 yrs)
Last Updated
Jul 21, 2022
Licenses
1746 (NC)
6995 (SC)
Sole Proprietor
Yes

Practice Information

Address
2917 MILLWOOD AVE BLDG B
COLUMBIA, SC, 292051334
Browse SC providers · Browse ZIP 29205
Phone
8038146218
Fax
8554909560
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in COLUMBIA, SC

Name Credential NPI
MARSHA H. PURVIS PH.D. 1073567822
MRS. PATRICIA WELDON FEIGLEY MSW LMFT LISWCP 1285689679
MS. PAULA MAVETTE BERKEY MA LMFT 1184671471
SHELLEY ANNE MCGEORGE PHD 1013958826
MS. NANCY GORDON DARBY MED MAC MFT DOTSAP 1568493492
TODD DALE HANSON M.A., LMFT 1912913930
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.