Individual
RUBEN DAVID SAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
06/14/2012
Last updated
11/01/2017
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