Individual
VIRGINIA L UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADCP
Contact information
Practice address
1187 HOLLAND RD, SIMPSONVILLE, SC 29681-5710
(844) 959-4092
Mailing address
1187 HOLLAND RD, SIMPSONVILLE, SC 29681-5710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-311
SC
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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