Organization
COLLETON COMMISSION ON ALCOHOL AND DRUG ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD L. RICKENBAKER (DIRECTOR)
(843) 538-4343
Entity
Organization
Contact information
Practice address
1439 THUNDERBOLT DR, WALTERBORO, SC 29488-9341
(843) 538-4343
(843) 538-7613
Mailing address
PO BOX 1037, WALTERBORO, SC 29488-0031
(843) 538-4343
(843) 538-7613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD33CL
—
SC
Enumeration date
07/11/2005
Last updated
09/11/2025
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