Individual provider · NPI-1

Derald Nick Adams, Ed.S

Counselor, Professional · Aiken, SC

NPI number1922647213
StatusActive
Last updated in NPPESJun 25, 2020

Details

NPI
1922647213
Entity type
Individual (NPI-1)
Name
Mr. Derald Nick Adams
Credential
Ed.S
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 3, 2020
Certification date
Jun 25, 2020
Last updated
Jun 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional7249SCYes

Practice location

1135 Gregg Hwy Nw
Aiken, SC 29801-6341

Phone 803-641-7700

Mailing address

458 Old Cherokee Rd Ste 203
Lexington, SC 29072-6971

Phone 803-250-1742

Other practice locations

458 Old Cherokee Rd Ste 203
Lexington, SC 29072-6971

Phone 803-250-1742

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