Individual
TERRENCE DARRELL GAMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 477-5765
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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