Individual
MR. CODRINGTON BANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDS, MA, LPC-A
Contact information
Practice address
4188 JOHN GARDNER RD, KERSHAW, SC 29067-9178
(803) 834-8284
Mailing address
4188 JOHN GARDNER RD, KERSHAW, SC 29067-9178
(803) 834-8284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9251
NC
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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