Individual
TAMMY MCCRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N MAIN ST, SUITE 4, SUMMERVILLE, SC 29483-6439
(843) 871-4790
Mailing address
500 N MAIN ST, SUITE 4, SUMMERVILLE, SC 29483-6439
(843) 871-4790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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