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John Edward Gough, MHP
Counselor in Columbia, South Carolina
NPI 1386245710

John Edward Gough is a Counselor based in Columbia, SC. John Edward Gough practices in Columbia, SC and has the professional credentials of MHP. The NPI Number for John Edward Gough is 1386245710 and holds a License No. (South Carolina).

The current practice location address for John Edward Gough is 2715 Colonial Dr Bldg 200A, Columbia, SC and can be reached out via phone at 803-898-4850.

Location: 2715 Colonial Dr Bldg 200A, Columbia, SC, 29229-8141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386245710
Provider Name
John Edward Gough
Credential
MHP
Provider Entity Type
Individual
Gender
Male
Address
2715 Colonial Dr Bldg 200A, Columbia, SC, 29229-8141
Phone Number
803-898-4850
Fax Number
Provider Enumeration Date
11/03/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20048848 05 SC
institution
Provider Business Practice Location Address Details
Address
2715 Colonial Dr Bldg 200A
City
Columbia
State
South Carolina
Zip
29203-6818
Phone Number
803-898-4850
Fax Number
person
Provider Business Mailing Address Details
Address
2715 Colonial Dr Bldg 200A
City
Columbia
State
South Carolina
Zip
29203-6818
Phone Number
803-898-4850
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
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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