Individual
JAMES BENTON MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 OCONEE SQUARE DR, SENECA, SC 29678-2546
(800) 805-6989
Mailing address
705 BROADWAY ST UNIT 1202, SENECA, SC 29672-8046
(479) 264-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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