Individual
MR. DEREK S. SNIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC & LAC
Contact information
Practice address
1324 COMMERCE DRIVE, DILLON, SC 29536
(843) 774-9296
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 544-4060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6220
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
11/06/2012
Last updated
02/09/2023
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