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NPI Code Detail

MEDICARE: UNION COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE

MEDICARE: UNION COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
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) CounselorOTP-045SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265433619
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNION COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Provider Business Mailing Address
First Line : PO BOX 844
Second Line :
City : UNION
State : SC
Zip : 29379-0844
Country : US
Telephone Number : 864-429-1656
Fax Number : 864-429-1667
Provider Business Practice Location Address
First Line : 201 S HERNDON ST
Second Line :
City : UNION
State : SC
Zip : 29379-2231
Country : US
Telephone Number : 864-429-1656
Fax Number : 864-429-1667
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. JACQUELINE P DAWKINS
Credential : NCAC II, CAC II
Telephone Number : 864-429-1656
Provider Enumeration Date : 08/09/2005
Last Update Date : 08/18/2009

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Practice Location Address:
201 S HERNDON ST
UNION, SC
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1073853230 — MS. ALASIA LORANE RICE CACI, NCACI
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1346580594 — UNION COUNTY COMMISSION ON ALCOHOL & DRUG ABUSE
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201 S HERNDON ST
UNION, SC
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Practice Fax:
1558726315 — BRITTANY DANYALE GIST M.S.
Practice Location Address:
201 S HERNDON ST
UNION, SC
29379-2231
Practice Phone: 864-429-1656
Practice Fax:
1013456557 — CARMEN JEFFERSON
Practice Location Address:
201 S HERNDON ST
UNION, SC
29379-2231
Practice Phone: 864-429-1656
Practice Fax:
1891496188 — SIERRA JOHNSON
Practice Location Address:
201 S HERNDON ST
UNION, SC
29379-2231
Practice Phone: 864-429-1656
Practice Fax:

Directions to “UNION COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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