Individual
JOSEPH BOYD ELVINGTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1218 EAST BLVD, CHESTERFIELD, SC 29709-5148
(843) 623-7062
(843) 623-7112
Mailing address
1218 EAST BLVD, CHESTERFIELD, SC 29709-5148
(843) 623-7062
(843) 623-7112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
07/03/2008
Last updated
04/03/2013
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