Individual
MR. DERALD NICK ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S
Contact information
Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Mailing address
458 OLD CHEROKEE RD STE 203, LEXINGTON, SC 29072-6971
(803) 250-1742
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7249
SC
Other
Enumeration date
01/03/2020
Last updated
06/25/2020
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