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Individual

ROBERT MICHAEL BAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1416
(864) 582-2411
(864) 582-7178
Mailing address
P.O. BOX 5158, SPARTANBURG, SC 29304-5158
(864) 504-3628
(864) 594-0040

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
7905
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LT1110
SC
Enumeration date
08/23/2019
Last updated
06/08/2023
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