Professional Intensive Outpatient Program of Florence
NPI #1184765653 in Florence, South Carolina
Provider Information
- NPI Number
- 1184765653
- Entity Type
- Organization
- Organization Name
- Professional Intensive Outpatient Program of Florence
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Jun 27, 2008
Practice Location
- Address
- 323 S MCQUEEN ST
- City
- Florence
- State
- South Carolina
- ZIP Code
- 29501-4722
- Phone
- (843) 673-0054
Authorized Official
- Name
- MR. JOHN GARY MARTIN, M.ED, LPC, LPCS
- Title
- LICENSED PROFESSIONAL COUNSELOR
- Phone
- (843) 673-0054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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