Individual
MICHAEL DAVID DEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7941 BROAD RIVER ROAD, SANDHILLS PEDIATRICS, IRMO, SC 29063
(803) 606-4441
Mailing address
204 MYLES COURT, LEXINGTON, SC 29072
(803) 606-4441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3819
SC
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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