Individual
MRS. CASSANDRA LATRICE GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 INDUSTRIAL DR, GREENVILLE, SC 29607-3241
(864) 467-3790
(864) 467-3765
Mailing address
803 BINDON LN, SIMPSONVILLE, SC 29680-7327
(864) 467-3732
(864) 467-3765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
570542729
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
570542729
—
SC
Enumeration date
10/05/2021
Last updated
10/05/2021
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