| Shamiquia Mcpherson | |
|
1627 Auburn St. Columbia SC 29204 | |
| (803) 888-9058 | |
| Not Available |
| Full Name | Shamiquia Mcpherson |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1627 Auburn St., Columbia, South Carolina |
| Authorized Official Name and Position | Shamiquia Mcpherson (OWNER) |
| Authorized Official Contact | 8038889058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shamiquia Mcpherson 1627 Auburn St Columbia SC 29204-1411 Ph: (803) 888-9058 | Shamiquia Mcpherson 1627 Auburn St. Columbia SC 29204 Ph: (803) 888-9058 |
| NPI Number | 1306448527 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306448527 | NPI | - | NPPES |
| PC1668 | Medicaid | SC | |
| PG0446 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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