Individual
JONATHAN COUSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,BSN
Contact information
Practice address
1668 HERLONG CT, ROCK HILL, SC 29732-1193
(803) 323-6383
(803) 328-2860
Mailing address
1668 HERLONG CT, ROCK HILL, SC 29732-1193
(803) 323-6383
(803) 328-2860
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
203834
SC
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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