Professional Intensive Outpatient Program Of Florence | |
323 S Mcqueen St Florence SC 29501-4722 | |
(843) 673-0054 | |
(843) 667-1549 |
Full Name | Professional Intensive Outpatient Program Of Florence |
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Speciality | Counselor - Professional |
Location | 323 S Mcqueen St, Florence, South Carolina |
Authorized Official Name and Position | John Gary Martin (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8436730054 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Intensive Outpatient Program Of Florence 323 S Mcqueen St Florence SC 29501-4722 Ph: (843) 673-0054 | Professional Intensive Outpatient Program Of Florence 323 S Mcqueen St Florence SC 29501-4722 Ph: (843) 673-0054 |
NPI Number | 1184765653 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 06/27/2008 |
Identifier | Type | State | Issuer |
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1184765653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 326 (South Carolina) | Primary |
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Florence Schools District One Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E Old Marion Hwy, Florence, SC 29506 Phone: 843-678-4193 Fax: 843-664-8180 | |
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