Individual
TELVIN FLOYD PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 N DARGAN ST # 101, FLORENCE, SC 29506-2590
(704) 904-9428
Mailing address
150 N DARGAN ST # 101, FLORENCE, SC 29506-2590
(704) 904-9428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2133
SC
101YP2500X
Professional Counselor
Primary
9730
SC
Other
Enumeration date
09/21/2023
Last updated
05/17/2024
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