Individual
MRS. RITA P MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
226 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-4168
(864) 261-7543
Mailing address
102 BLAIR MILL RD, BELTON, SC 29627-2340
(864) 338-8895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12033020
SC
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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