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NPI Code Detail

MEDICARE: MELANIE GASKIN MS, CACP

MEDICARE: MELANIE GASKIN MS, CACP
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1427391796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE GASKIN MS, CACP
Provider Business Mailing Address
First Line : 96 WISTERIA RD
Second Line :
City : GOOSE CREEK
State : SC
Zip : 29445-3495
Country : US
Telephone Number : 843-797-7871
Fax Number : 843-797-8638
Provider Business Practice Location Address
First Line : 96 WISTERIA RD
Second Line :
City : GOOSE CREEK
State : SC
Zip : 29445-3495
Country : US
Telephone Number : 843-797-7871
Fax Number : 843-797-8638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2013
Last Update Date : 04/04/2013

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