| A Center For Adult Adolescent & Child Counseling Pa | |
|
1112 Old Towne Rd Charleston SC 29407-6063 | |
| (843) 763-0363 | |
| (843) 763-0363 |
| Full Name | A Center For Adult Adolescent & Child Counseling Pa |
|---|---|
| Speciality | Social Worker |
| Location | 1112 Old Towne Rd, Charleston, South Carolina |
| Authorized Official Name and Position | Billy Engram Barrineau (DIRECTOR & PSYCHOTHERAPIST) |
| Authorized Official Contact | 8437630363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Center For Adult Adolescent & Child Counseling Pa 1112 Old Towne Rd Charleston SC 29407-6063 Ph: (843) 763-0363 | A Center For Adult Adolescent & Child Counseling Pa 1112 Old Towne Rd Charleston SC 29407-6063 Ph: (843) 763-0363 |
| NPI Number | 1356558019 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356558019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 103 (South Carolina) | Secondary |
| 104100000X | Social Worker | 806 (South Carolina) | Primary |
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