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NPI Code Detail

MEDICARE: DELORES BESS MA

MEDICARE: DELORES BESS MA
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
1101YM0800XMental Health Counselor
2101Y00000XCounselor

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 : 1376696625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELORES BESS MA
Provider Business Mailing Address
First Line : 801 N PIKE W
Second Line :
City : SUMTER
State : SC
Zip : 29153-1906
Country : US
Telephone Number : 803-934-4087
Fax Number : 864-241-1124
Provider Business Practice Location Address
First Line : 801 N PIKE W
Second Line :
City : SUMTER
State : SC
Zip : 29153-1906
Country : US
Telephone Number : 803-934-4087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 06/18/2024

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1205322088 — TEKISHA WRIGHT HATCHER
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Directions to “ DELORES BESS MA” Practice Location

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