DEITRICH ANDERA DRAYTON


Address: 517 Howard St, Columbia, SC 29205-3820
Phone: 8036069661

DEITRICH ANDERA DRAYTON (NPI# 1992323166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992323166
Entity Type Individual
Full Name DEITRICH ANDERA DRAYTON
Credential MS
Practice Address 517 Howard St
Columbia
SC 29205-3820
Practice Telephone 8036069661
Mailing Telephone 8036069661
Enumeration Date 2020-07-13
Last Update Date 2020-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
7241 SC Behavioral Health & Social Service Providers

Office Location

Street Address 517 HOWARD ST
City COLUMBIA
State SC
Zip Code 29205-3820

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City COLUMBIA
Zip Code 29205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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