Provider Demographics
NPI:1811937162
Name:AUCOIN, RICHARD J (PHD)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:J
Last Name:AUCOIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1180 SAM RITTENBERG
Mailing Address - Street 2:SUITE 251
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407
Mailing Address - Country:US
Mailing Address - Phone:843-766-8620
Mailing Address - Fax:843-766-3351
Practice Address - Street 1:1180 SAM RITTENBERG
Practice Address - Street 2:SUITE 251
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407
Practice Address - Country:US
Practice Address - Phone:843-766-8620
Practice Address - Fax:843-766-3351
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC087103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling