Individual
VALENCIA S THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 NW COURT ST, MARION, SC 29571-2901
(843) 423-8292
(843) 423-8294
Mailing address
PO BOX 1011, 103 COURT STREET, MARION, SC 29571-1011
(843) 423-8292
(843) 423-8294
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD20MD
—
SC
Enumeration date
09/09/2013
Last updated
09/09/2013
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