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Individual

CHRIS DIGIANDOMENICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
500 N MAIN ST, SUITE4, SUMMERVILLE, SC 29483-6439
(843) 871-4790
(843) 871-8579
Mailing address
500 N MAIN ST, SUITE4, SUMMERVILLE, SC 29483-6439
(843) 871-4790
(843) 871-8579

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5709
SC
101YM0800X
Mental Health Counselor
5709
SC
104100000X
Social Worker
Primary
5709
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AD16DO
SC
Enumeration date
07/05/2007
Last updated
10/24/2014
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