person
Kaneisha Tierra Whack, MS,CACP
Addiction (Substance Use Disorder) Counselor in Sumter, South Carolina
NPI 1902372527

Kaneisha Tierra Whack is an Addiction (Substance Use Disorder) Counselor based in Sumter, SC and is specialized in Addiction (Substance Use Disorder). Kaneisha Tierra Whack practices in Sumter, SC and has the professional credentials of MS,CACP. The NPI Number for Kaneisha Tierra Whack is 1902372527 and holds a License No. (South Carolina).

The current practice location address for Kaneisha Tierra Whack is 525 N Lafayette Dr, Sumter, SC and can be reached out via phone at 803-436-2462.

Location: 525 N Lafayette Dr, Sumter, SC, 29150-4956
person
Provider Profile Details
NPI Number
1902372527
Provider Name
Kaneisha Tierra Whack
Credential
MS,CACP
Provider Entity Type
Individual
Gender
Female
Address
525 N Lafayette Dr, Sumter, SC, 29150-4956
Phone Number
803-436-2462
Fax Number
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
525 N Lafayette Dr
City
State
Zip
29150-4347
Phone Number
803-436-2462
Fax Number
person
Provider Business Mailing Address Details
Address
525 N Lafayette Dr
City
State
Zip
29150-4347
Phone Number
803-436-2462
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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