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Individual

MR. KEVIN BRADFORD BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW-CP, MAC

Contact information

Practice address
1403 1/2 CALHOUN STREET, COLUMBIA, SC 29201
(803) 451-7600
(803) 451-7604
Mailing address
1403 1/2 CALHOUN STREET, COLUMBIA, SC 29201
(803) 451-7600
(803) 451-7604

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9378
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC
1041C0700X
Clinical Social Worker
9378
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SW1425
SC
Enumeration date
06/27/2011
Last updated
04/09/2018
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