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NPI Code Detail

MEDICARE: MRS. ALISON KENDRA NORVILLE M.A.

MEDICARE: MRS. ALISON KENDRA NORVILLE M.A.
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

General Provider Information

NPI Number : 1679647374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALISON KENDRA NORVILLE M.A.
Provider Business Mailing Address
First Line : 9505 HIGHGATE RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-2119
Country : US
Telephone Number : 803-788-6184
Fax Number :
Provider Business Practice Location Address
First Line : 9505 HIGHGATE RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29223-2119
Country : US
Telephone Number : 803-788-6184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

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