Organization
CANTLEY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN CANTLEY (OWNER)
(864) 301-1031
Entity
Organization
Contact information
Practice address
451 HAYWOOD RD, GREENVILLE, SC 29607-4304
(864) 301-1031
Mailing address
340 E 74TH ST APT 8F, NEW YORK, NY 10021-3745
(864) 301-1031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC2182
—
SC
Enumeration date
10/28/2020
Last updated
10/28/2020
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