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Organization
KERSHAW COUNTY SCHOOL DISTRICT
Active
Organization
KERSHAW COUNTY SCHOOL DISTRICT
Active
Other names
Kershaw County Schools RBHS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISA GOODMAN PH.D (DIRECTOR FOR INSTRUCTIONAL SUPPORT)
(803) 432-8416
Entity
Organization
Contact information
Practice address
1109 CAMPBELL ST, CAMDEN, SC 29020-3507
(803) 425-7712
(803) 425-7713
Mailing address
2029 W DEKALB ST, CAMDEN, SC 29020-2093
(803) 432-8416
(803) 425-8918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
Primary
—
NULL
101YS0200X
School Counselor
Primary
—
—
103T00000X
Psychologist
422
SC
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
422
SC
103TS0200X
School Psychologist
422
SC
1041S0200X
School Social Worker
—
NULL
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2800
—
SC
Enumeration date
09/10/2014
Last updated
09/10/2014
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