Individual
MRS. MICHELLE CARMELA CIAVOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
691 S OAK ST, SENECA, SC 29678-3827
(864) 882-7563
Mailing address
691 S OAK ST, SENECA, SC 29678-3827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5826
—
SC
Enumeration date
02/05/2019
Last updated
02/05/2019
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