Individual provider · NPI-1

Dale Preston Addison

Counselor · Greenville, SC

NPI number1992029565
StatusActive
Last updated in NPPESMar 25, 2010

Details

NPI
1992029565
Entity type
Individual (NPI-1)
Name
Dale Preston Addison
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2010
Last updated
Mar 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

124 Mallard St.
Greenville, SC 29601-4046

Phone 864-241-1040 · Fax 864-241-1215

Mailing address

124 Mallard St.
Greenville, SC 29601-4046

Phone 864-241-1040 · Fax 864-241-1215

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