NPI 1043589997 · live from the CMS NPI Registry
John Ray Addison, LPC
Counselor, Professional in Seneca, SC. National Provider Identifier 1043589997, active.
NPI record
| NPI | 1043589997 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 530 By Pass 123, Suite E2, Seneca, SC 29678 |
| Practice phone | 864-882-7600 |
| Mailing address | Po Box 1105, Clemson, SC 29633 |
| Enumerated | December 21, 2011 |
| Last updated | December 21, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 1844 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.