Individual
KATIE KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
189 S CONVERSE ST, SPARTANBURG, SC 29306-3243
(864) 582-5431
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 598-9262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
08/04/2008
Last updated
08/04/2008
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