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Organization

UNIVERSAL PROGRAM OF RECOVERY LLC

Active
Other names
Andrea R Thorpe
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA RENEE THORPE LISW-CP,MAC, ICAADC, (OWNER, THERAPIST)
(623) 628-0714
Entity
Organization

Contact information

Practice address
640 OLD BACK RIVER RD, GOOSE CREEK, SC 29445-7825
(623) 628-0714
(843) 297-4456
Mailing address
640 OLD BACK RIVER RD, GOOSE CREEK, SC 29445-7825
(623) 628-0714
(843) 297-4456

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2085R
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
508240
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0160
GA
1041C0700X
Clinical Social Worker
Primary
12064
SC
1041C0700X
Clinical Social Worker
CSW005041
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SW1385
SC
Enumeration date
08/08/2017
Last updated
03/17/2018
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