Individual
MR. JOHN CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LPC
Contact information
Practice address
203 WEST MAIN STREET, SUITE E-1, LEXINGTON, SC 29072-9494
(803) 873-8332
Mailing address
203 W MAIN ST, SUITE E-1, LEXINGTON, SC 29072-2633
(803) 873-8332
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
5224
SC
Other
Enumeration date
10/25/2011
Last updated
03/05/2014
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