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Organization
ISLAND TRANSITIONS COUNSELING AND CONSULTING, LLC.
Active
Organization
ISLAND TRANSITIONS COUNSELING AND CONSULTING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN ELAINE ROOSEVELT LISW-CP (OWNER/CLINICIAN)
(618) 559-1124
Entity
Organization
Contact information
Practice address
3226 MAYBANK HWY UNIT A, JOHNS ISLAND, SC 29455-4858
(618) 559-1124
Mailing address
3226 MAYBANK HWY UNIT A, JOHNS ISLAND, SC 29455-4858
(618) 559-1124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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