Individual provider · NPI-1
Amanda Denise Barron
Counselor · Georgetown, SC
NPI number1205321395
StatusActive
Last updated in NPPESJun 29, 2018
Details
- NPI
- 1205321395
- Entity type
- Individual (NPI-1)
- Name
- Amanda Denise Barron
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2018
- Last updated
- Jun 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | SC | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
56 Micah RdGeorgetown, SC 29440-9040
Phone 803-747-1583
Mailing address
56 Micah RdGeorgetown, SC 29440-9040
Phone 803-747-1583
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