Individual
DR. CALVIN BRYAN VACCHIO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., NCC, LPC
Contact information
Practice address
3800 FOREST DR STE C, COLUMBIA, SC 29204-4146
(803) 403-8469
(803) 403-9979
Mailing address
208 HILLWICK DR, GASTON, SC 29053-8832
(803) 240-8841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5523
SC
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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