Individual
MR. RICKEY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA REHAB COUNSELING
Contact information
Practice address
2319 ST. MATTHEWS RD., ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Mailing address
2319 ST. MATTHEWS RD., ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413093
—
SC
Enumeration date
07/10/2006
Last updated
07/08/2007
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