Organization
CAROLINA COMMUNITY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN DAVIS MA, LPC (THERAPIST)
(866) 652-0093
Entity
Organization
Contact information
Practice address
2012 HIGHWAY 160 W STE 9, FORT MILL, SC 29708-8401
(866) 652-0093
Mailing address
2012 HIGHWAY 160 W STE 9, FORT MILL, SC 29708-8401
(866) 652-0093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6113
SC
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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