Waldrop, Wallace Jerry

Waldrop, Wallace Jerry is an sole proprietor health care provider with primary practice located at 2917 Millwood Ave Bldg B , Columbia SC 29205-1334. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Waldrop, Wallace Jerry can be contacted via phone (803) 814-6218.

Contact Information

Primary practice address
2917 Millwood Ave Bldg B Columbia SC 29205-1334
Phone: (803) 814-6218
Fax: (855) 490-9560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1746 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 6995 South Carolina

Profile Details

NPI number 1891224283
LBN Legal business name Waldrop, Wallace Jerry
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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