Individual
MR. MICHAEL DANIEL MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCAC II, CAC II
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3769
(864) 467-3757
Mailing address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3769
(864) 467-3757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
012830
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11062815
SC
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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