Organization
EARNEST E KENNEDY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME TILGHMAN LPC, LAC, SAC (DIRECTOR)
(843) 719-3001
Entity
Organization
Contact information
Practice address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 719-3000
Mailing address
96 WISTERIA RD, GOOSE CREEK, SC 29445-3495
(843) 797-7871
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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