| Grace Counseling Center J. Ray Addison Ph.d. Prt Et Al | |
|
530 By Pass 123 Suite E2 Seneca SC 29678-0859 | |
| (864) 882-7600 | |
| (864) 882-7631 |
| Full Name | Grace Counseling Center J. Ray Addison Ph.d. Prt Et Al |
|---|---|
| Speciality | Counselor - Professional |
| Location | 530 By Pass 123, Seneca, South Carolina |
| Authorized Official Name and Position | John Ray Addison (CO-DIRECTOR) |
| Authorized Official Contact | 8648827600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling Center J. Ray Addison Ph.d. Prt Et Al Po Box 1105 Clemson SC 29633-1105 Ph: (864) 882-7600 | Grace Counseling Center J. Ray Addison Ph.d. Prt Et Al 530 By Pass 123 Suite E2 Seneca SC 29678-0859 Ph: (864) 882-7600 |
| NPI Number | 1629195441 |
|---|---|
| Provider Enumeration Date | 03/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629195441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1844 (South Carolina) | Primary |
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