Individual
JADA ANDANTIA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 N MAIN ST, SUMTER, SC 29150-4232
(803) 750-5080
Mailing address
441 N MAIN ST, SUMTER, SC 29150-4232
(803) 750-5080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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