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NPI Code Detail

MEDICARE: DORCHESTER COMMISSION ON ALCOHOL AND DRUG ABUSE

MEDICARE: DORCHESTER 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-015SC
2101YM0800XMental Health CounselorOTP-015SC
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/CenterSC

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 : 1851476337
Entity Type Code : Organization
Provider Name (Legal Business Name) : DORCHESTER COMMISSION ON ALCOHOL AND DRUG ABUSE
Provider Business Mailing Address
First Line : 320 MIDLAND PKWY STE C
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-7195
Country : US
Telephone Number : 843-871-4790
Fax Number : 844-965-9336
Provider Business Practice Location Address
First Line : 320 MIDLAND PKWY STE C
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-7195
Country : US
Telephone Number : 843-871-4790
Fax Number : 844-965-9336
Authorized Official
Title or Position : FINANCE DIRECTOR
Name : SUE MALPHRUS
Credential :
Telephone Number : 843-871-4790
Provider Enumeration Date : 10/25/2006
Last Update Date : 06/09/2023

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1598480998 — SAMANTHA WELDON CPSS
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Practice Location Address:
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Directions to “DORCHESTER 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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