Individual
MR. JAMES LEE REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1439 THUNDERBOLT DR, WALTERBORO, SC 29488-9341
(843) 538-4343
Mailing address
PO BOX 1037, WALTERBORO, SC 29488-0031
(843) 538-4343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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