Tracey A Desjadon
Counselor, Mental Health in Camden, SC. Individual provider (NPI-1).
NPI number1376624486
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376624486
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tracey A Desjadon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2611 Liberty Hill Rd.Camden, SC 29020
Phone 803-432-5323 · Fax 803-713-3978
Mailing address
215 N. Magnolia St.Sumter, SC 29151-1946
Phone 803-775-9364 · Fax 803-773-6615
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All 25 Mental Health Counselor providers in Camden · All 541 providers in Camden
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