Individual
KALI M BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
E.D.S, LPCA, NCC
Contact information
Practice address
405 PETTIGRU ST, GREENVILLE, SC 29601-3114
(864) 271-3549
Mailing address
826 OLD AIRPORT RD APT 825, GREENVILLE, SC 29607-0923
(803) 417-4404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8501
SC
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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