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John Smith JR.
Student in an Organized Health Care Education/Training Program in Spartanburg, South Carolina
NPI 1114464435

John Smith JR. is a Student in an Organized Health Care Education/Training Program based in Duncan, SC. John Smith JR. practices in Spartanburg, SC. The NPI Number for John Smith JR. is 1114464435 and holds a License No. (South Carolina).

The current practice location address for John Smith JR. is 390 E Boundary Dr, Spartanburg, SC and can be reached out via phone at 864-603-4086.

Location: 390 E Boundary Dr, Spartanburg, SC, 29334-1185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114464435
Provider Name
John Smith JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
390 E Boundary Dr, Spartanburg, SC, 29334-1185
Phone Number
864-603-4086
Fax Number
Provider Enumeration Date
01/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
390 E Boundary Dr
City
Spartanburg
State
South Carolina
Zip
29303-3926
Phone Number
864-603-4086
Fax Number
person
Provider Business Mailing Address Details
Address
390 E Boundary Dr
City
Spartanburg
State
South Carolina
Zip
29303-3926
Phone Number
864-603-4086
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 6
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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