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NPI Code Detail

MEDICARE: LARA CASHMAN LPC

MEDICARE: LARA CASHMAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor12294SC

General Provider Information

NPI Number : 1891539219
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARA CASHMAN LPC
Provider Business Mailing Address
First Line : 3012 MILLWOOD AVE
Second Line :
City : COLUMBIA
State : SC
Zip : 29205-1807
Country : US
Telephone Number : 843-621-5404
Fax Number : 843-353-2460
Provider Business Practice Location Address
First Line : 3012 MILLWOOD AVE
Second Line :
City : COLUMBIA
State : SC
Zip : 29205-1807
Country : US
Telephone Number : 843-621-5404
Fax Number : 843-353-2460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2024
Last Update Date : 06/10/2026

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