Organization
AVILLAGE COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT ADDISON J.D., CHC (EXECUTIVE DIRECTOR)
(803) 936-1910
Entity
Organization
Contact information
Practice address
112K WHITE OAK LN, LEXINGTON, SC 29073-9465
(803) 936-1910
Mailing address
112K WHITE OAK LN, LEXINGTON, SC 29073-9465
(803) 936-1910
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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