DERRICK LAVON HIGHTOWER LPCI
Addiction Substance Use Disorder
Spartanburg, South Carolina
Provider NPI: 1134158090
Provider Information:DERRICK LAVON HIGHTOWER LPCI
Gender: M
Not Sole Proprietor
Practice Location:
710 S CHURCH ST SPARTANBURG, SC 29306 US
Tel: 864-230-6479 Fax: 864-578-7176
Business Mailing Address:
113 BITTERNUT LN TAYLORS, SC 29687 US
Tel: 864-230-6479 Fax: 864-578-7176
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | SC | 4714 |
N | 101YM0800X | Behavioral Health & Social Service Providers Counselor | SC | 4714 |
Y | 103TC2200X | Behavioral Health & Social Service Providers Psychologist | SC | 4714 |
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