person
David Mickell, BASOCIALWORKER
Mental Health Counselor in Holly Hill, South Carolina
NPI 1164456844

David Mickell is a Mental Health Counselor based in Orangeburg, SC and is specialized in Mental Health. David Mickell practices in Holly Hill, SC and has the professional credentials of BASOCIALWORKER. The NPI Number for David Mickell is 1164456844 and holds a License No. (South Carolina).

The current practice location address for David Mickell is 1375 Gilway Extension, Holly Hill, SC and can be reached out via phone at 803-496-3410 and via fax at 803-496-9185.

Location: 1375 Gilway Extension, Holly Hill, SC, 29118
person
Provider Profile Details
NPI Number
1164456844
Provider Name
David Mickell
Credential
BASOCIALWORKER
Provider Entity Type
Individual
Gender
Male
Address
1375 Gilway Extension, Holly Hill, SC, 29118
Phone Number
803-496-3410
Fax Number
803-496-9185
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
413093 05 SC
institution
Provider Business Practice Location Address Details
Address
1375 Gilway Extension
City
State
Zip
29059
Phone Number
803-496-3410
Fax Number
803-496-9185
person
Provider Business Mailing Address Details
Address
1375 Gilway Extension
City
State
Zip
29059
Phone Number
803-496-3410
Fax Number
803-496-9185
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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