Individual
CHADDRICK L MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-I, CRC, CVE
Contact information
Practice address
9367 TWO NOTCH RD, SUITE F-1, COLUMBIA, SC 29223-6442
(803) 563-5087
Mailing address
9367 TWO NOTCH RD, SUITE F-1, COLUMBIA, SC 29223-6442
(803) 563-5087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5466
SC
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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