Individual provider · Type 1 NPI

Kaneisha Tierra Whack, MS, CACP

Addiction (Substance Use Disorder) Counselor · Sumter, SC

NPI number 1902372527 Active

Practice location

525 N Lafayette Dr
Sumter, SC 29150-4347

Call (803) 436-2462 Map

Mailing address

115 N Harvin St
Sumter, SC 29150-4956

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 1902372527

Kaneisha Tierra Whack, MS, CACP's National Provider Identifier is 1902372527, issued on Oct 22, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sumter, SC. The record was last updated on Oct 22, 2018.