Individual
BRANDI LANE SPINKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-P
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3790
(864) 467-3948
Mailing address
PO BOX 48, GREENVILLE, SC 29602-0048
(864) 467-3790
(864) 467-3948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891795738
—
SC
Enumeration date
11/26/2018
Last updated
11/26/2018
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