Individual
KINSEY CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2537 GERVAIS ST, COLUMBIA, SC 29204-2375
(803) 470-5624
Mailing address
2637 RIVER DR APT B19, COLUMBIA, SC 29201-1751
(843) 224-8707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11430
SC
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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