NPI Profile for COASTAL ADDICTION RECOVERY LLC in NORTH CHARLESTON, SC.
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction Psychiatry |
2084P0802X | 86 | Physician/Neuropsychiatry | |
Counselor |
101Y00000X | |||
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1942701792 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/27/2018 | |
| Last updated | 02/27/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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