Individual
JASON POWELL HUNDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 371-1266
Mailing address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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