Individual provider · Type 1 NPI

Detrice Bethea

Addiction (Substance Use Disorder) Counselor · West Columbia, SC

NPI number 1184282238 Active

Practice location

185 Lott Ct
West Columbia, SC 29169-3051

Call (803) 719-4050 Map

Fax (803) 719-4054

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice locations

  • 801 N Pike W, Sumter, SC 29153-1906 · (803) 775-9364

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCSIP04413 (SC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADC-2300 (SC)
Mental Health Counselor 101YM0800XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184282238

Detrice Bethea's National Provider Identifier is 1184282238, issued on Jun 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Columbia, SC. The record was last updated on Oct 8, 2026.