Individual
DR. JOHN RAY ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
530 BY PASS 123, SUITE E2, SENECA, SC 29678-0859
(864) 882-7600
(864) 882-7631
Mailing address
PO BOX 1105, CLEMSON, SC 29633-1105
(864) 882-7600
(864) 882-7631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1844
SC
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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