Individual
MS. PATTY ANN NODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC, AADC
Contact information
Practice address
1032 UNION ST, SPARTANBURG, SC 29302-3318
(864) 205-1110
(864) 310-4339
Mailing address
1032 UNION ST, SPARTANBURG, SC 29302-3318
(864) 205-1110
(864) 310-4339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
111
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
12033036
SC
101YP2500X
Professional Counselor
Primary
6880
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12033036
CACII
SC
05
—
PC2008
—
SC
Enumeration date
01/18/2013
Last updated
07/28/2021
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