Michael A Adams, MA REHAB COUNSELING

Individual provider Active NPI Mental Health Counselor · Orangeburg, SC

NPI 1306870076 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306870076
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
2319 St Matthews Road
Orangeburg, SC 29118
Phone
(803) 536-1571
Fax
(803) 536-1463
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

2319 St Matthews Road
Orangeburg, SC 29118

Mailing address

2319 St Matthews Road
Orangeburg, SC 29118
Phone (803) 536-1571

Other identifiers

IdentifierTypeStateIssuer
413093MedicaidSC

Other providers in Orangeburg, SC

All providers in Orangeburg, SC · Mental Health Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.