Organization
U-REAACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMIEN EDWARD JOHNSON PH.D., LPC, CAC-II, (OWNER)
(843) 586-0108
Entity
Organization
Contact information
Practice address
104 RED BLUFF STREET, CLIO, SC 29525-4722
(843) 586-0108
(843) 586-0108
Mailing address
741 CRAIG CIR, BENNETTSVILLE, SC 29512-2005
(843) 586-0108
(843) 586-0108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1411038
SC
101YM0800X
Mental Health Counselor
5249
SC
251S00000X
Community/Behavioral Health Agency
Primary
5249
SC
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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