Individual
KEITH A CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 OSPREY RIDGE LN, SUMMERVILLE, SC 29483-8225
(952) 857-9949
Mailing address
125 OSPREY RIDGE LN, SUMMERVILLE, SC 29483-8225
(952) 857-9949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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