Individual provider · Type 1 NPI

Millicent Small

Addiction (Substance Use Disorder) Counselor · Conway, SC

NPI number 1598250409 Active

Practice location

2404 Wise Rd
Conway, SC 29526-5521

Call (843) 365-8884 Map

Mailing address

PO Box 136
Conway, SC 29528-0136

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1598250409

Millicent Small's National Provider Identifier is 1598250409, issued on Jun 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Conway, SC. The record was last updated on Jun 25, 2018.