Organization
COLUMBIA COUNSELING CENTER/COLUMBIA BEHAVIORAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREL GENE SHAVER PH.D., LPC (PRESIDENT)
(803) 731-4708
Entity
Organization
Contact information
Practice address
900 SAINT ANDREWS RD, COLUMBIA, SC 29210-5816
(803) 731-4708
(803) 612-1206
Mailing address
900 SAINT ANDREWS RD, COLUMBIA, SC 29210-5816
(803) 731-4708
(803) 612-1206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/31/2006
Last updated
10/09/2024
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