Individual
BRIANNA WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
510 E CAROLINA AVE, HARTSVILLE, SC 29550-4312
(843) 332-4156
Mailing address
510 E CAROLINA AVE, HARTSVILLE, SC 29550-4312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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