Organization
KREATIVE COUNSELING ENRICHMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL M RUSSELL LPC (PROFESSIONAL COUNSELOR)
(803) 261-1621
Entity
Organization
Contact information
Practice address
2110 N BELTLINE BLVD, COLUMBIA, SC 29204-3999
(803) 261-1621
Mailing address
PO BOX 4493, COLUMBIA, SC 29240-4493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4739
SC
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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