Individual
CHARLES A KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC CAC II MAC
Contact information
Practice address
206 WALL ST, PIEDMONT, SC 29673-6754
(864) 295-1280
Mailing address
206 WALL ST, PIEDMONT, SC 29673-6754
(864) 295-1280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1210026
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
331
SC
Other
Enumeration date
09/06/2013
Last updated
06/04/2024
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