Individual
MR. RICHARD ERNEST MARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC/NCAC-II./MAC/SAP
Contact information
Practice address
115 N HARVIN ST, SUMTER, SC 29150-4956
(803) 775-6815
(803) 773-6232
Mailing address
115 N HARVIN ST, SUMTER, SC 29150-4956
(803) 775-6815
(803) 773-6232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD18SU
—
SC
Enumeration date
01/30/2013
Last updated
01/31/2013
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