Individual
DR. MARK ANTHONY SMIKLE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7624 FAIRFIELD RD, COLUMBIA, SC 29203-9595
(940) 343-7078
Mailing address
7624 FAIRFIELD RD, COLUMBIA, SC 29203-9595
(940) 343-7078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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