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Individual

SVEINUNG ERIKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4801 MONTICELLO RD, COLUMBIA, SC 29203-4124
(803) 714-0266
(803) 252-1968
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 217-0026

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5215 PCI
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4350
GROUP MEDICARE PART B
SC
01
CBP018
MEDICAID GROUP NUMBER
SC
01
FQC031
GROUP MEDICAID NUMBER
SC
Enumeration date
09/04/2012
Last updated
09/04/2012
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