Individual
DR. YVONNE ADASSA COMMODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., ED.S., LISW-C
Contact information
Practice address
4029 MCGEE RD, COWARD, SC 29530-5232
(843) 767-7624
Mailing address
PO BOX 62, LAKE CITY, SC 29560-0062
(803) 321-6657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
188020
SC
101YM0800X
Mental Health Counselor
188020
SC
104100000X
Social Worker
188020
SC
1041C0700X
Clinical Social Worker
Primary
18153
SC
1041S0200X
School Social Worker
188020
SC
Other
Enumeration date
01/21/2014
Last updated
08/14/2025
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