person
Dr. Lupicino Ico Bajamunde, MD
Mental Health Counselor in Columbia, South Carolina
NPI 1700802519

Lupicino Ico Bajamunde is a Mental Health Counselor based in Columbia, SC and is specialized in Mental Health. Lupicino Ico Bajamunde practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Lupicino Ico Bajamunde is 1700802519 and holds a License No. NY-173556 (South Carolina).

The current practice location address for Lupicino Ico Bajamunde is 6439 Garners Ferry Rd, Columbia, SC and can be reached out via phone at 803-776-4000 and via fax at 803-695-7963. You can also correspond with Lupicino Ico Bajamunde through the mailing address at 200 ATRIUM WAY, COLUMBIA, SC - 29223-6390 (mailing address contact number: 803-419-2897).

Location: 6439 Garners Ferry Rd, Columbia, SC, 29223-6390
person
Provider Profile Details
NPI Number
1700802519
Provider Name
Lupicino Ico Bajamunde
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6439 Garners Ferry Rd, Columbia, SC, 29223-6390
Phone Number
803-776-4000
Fax Number
803-695-7963
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6439 Garners Ferry Rd
City
State
Zip
29209-1638
Phone Number
803-776-4000
Fax Number
803-695-7963
person
Provider Business Mailing Address Details
Address
200 Atrium Way
City
State
Zip
29223-6390
Phone Number
803-419-2897
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
NY-173556 (New York)
Definition
Definition to come...
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