JOHN EDWARD GOUGH

COLUMBIA, SC
NPI1386245710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
JOHN EDWARD GOUGH MHP
2715 COLONIAL DR BLDG 200A
COLUMBIA, SC 29203-6818
Phone number: 803-898-4850
Mailing Address
JOHN EDWARD GOUGH MHP
114 WATERVILLE DR
COLUMBIA, SC 29229-8141
Phone number: 803-865-8439
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