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Organization
YOUR COUNSELING SERVICES INC
Active
Organization
YOUR COUNSELING SERVICES INC
Active
Other names
Your Counseling Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEM D FRAISER LPC (PROVIDER)
(843) 260-5361
Entity
Organization
Contact information
Practice address
6650 RIVERS AVE, NORTH CHARLESTON, SC 29406-4809
(843) 260-5361
Mailing address
6650 RIVERS AVE, NORTH CHARLESTON, SC 29406-4809
(843) 260-5361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
SC
103K00000X
Behavior Analyst
Primary
—
SC
251S00000X
Community/Behavioral Health Agency
HA1007
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0835902
ARTICLES OF INCORPORATION
NC
01
—
11850682
CAQH PROVIDER ID
—
05
—
638940225B
—
GA
05
—
HA1007
—
SC
Enumeration date
04/09/2015
Last updated
07/21/2022
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