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NPI Code Detail

MEDICARE: MS. AUDREY FIELDS

MEDICARE: MS. AUDREY FIELDS
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 : 1821484817
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AUDREY FIELDS
Provider Business Mailing Address
First Line : 200 MCGEE RD
Second Line :
City : ANDERSON
State : SC
Zip : 29625-2104
Country : US
Telephone Number : 864-260-2220
Fax Number : 864-260-2225
Provider Business Practice Location Address
First Line : 337 W MAIN ST
Second Line :
City : EASLEY
State : SC
Zip : 29640-2927
Country : US
Telephone Number : 864-878-6830
Fax Number : 864-878-5396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2015
Last Update Date : 04/07/2015

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Directions to “ MS. AUDREY FIELDS ” Practice Location

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