Individual provider · Type 1 NPI

Clinton Douglas Prevatte

Mental Health Counselor · Conway, SC

NPI number 1841764693 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Fax (843) 347-3959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1841764693

Clinton Douglas Prevatte's National Provider Identifier is 1841764693, issued on Jan 15, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, SC. The record was last updated on Jan 15, 2019.