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NPI Code Detail

MEDICARE: KERSHAW COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE

MEDICARE: KERSHAW 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
1251S00000XCommunity/Behavioral Health Agency

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 : 1669424818
Entity Type Code : Organization
Provider Name (Legal Business Name) : KERSHAW COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Provider Business Mailing Address
First Line : 208 KING ST
Second Line :
City : CAMDEN
State : SC
Zip : 29020-4720
Country : US
Telephone Number : 803-432-6902
Fax Number : 803-425-0923
Provider Business Practice Location Address
First Line : 208 KING ST
Second Line :
City : CAMDEN
State : SC
Zip : 29020-4720
Country : US
Telephone Number : 803-432-6902
Fax Number : 803-425-0923
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. MARA JONES
Credential :
Telephone Number : 803-432-6902
Provider Enumeration Date : 05/16/2006
Last Update Date : 11/14/2023

Similar Medicare Providers

1891654034 — SILVANIA RODRIGUES WHITE
Practice Location Address:
208 KING ST
CAMDEN, SC
29020-4720
Practice Phone: 803-432-6902
Practice Fax:
1790073922 — MRS. MARA HORTON JONES LPC
Practice Location Address:
208 KING ST
CAMDEN, SC
29020-4720
Practice Phone: 803-432-6902
Practice Fax:
1265046544 — LAURA MARIE BROWNING LMSW
Practice Location Address:
208 KING ST
CAMDEN, SC
29020-4720
Practice Phone: 803-432-6902
Practice Fax: 803-425-0923
1336753797 — OLIVIA VON ROSENBERG
Practice Location Address:
208 KING ST
CAMDEN, SC
29020-4720
Practice Phone: 803-432-6902
Practice Fax:
1205432929 — SANDRA LEE SIEGFRIED CPSS
Practice Location Address:
208 KING ST
CAMDEN, SC
29020-4720
Practice Phone: 803-432-6902
Practice Fax:
1952973059 — MR. DERRICK TREVON DINGLE JR.
Practice Location Address:
208 KING ST
CAMDEN, SC
29020-4720
Practice Phone: 803-432-6902
Practice Fax:

Directions to “KERSHAW 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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