Individual provider · Type 1 NPI

Tracey A. Desjadon

Mental Health Counselor · Camden, SC

NPI number 1376624486 Active

Practice location

2611 Liberty Hill Rd.
Camden, SC 29020

Call (803) 432-5323 Map

Fax (803) 713-3978

Mailing address

215 N. Magnolia St.
Sumter, SC 29151-1946

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376624486

Tracey A. Desjadon's National Provider Identifier is 1376624486, issued on Oct 17, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camden, SC. The record was last updated on Jul 8, 2007.