Individual
CASSANDRA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS IN SCIENCE I
Contact information
Practice address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Mailing address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413093
—
SC
Enumeration date
04/28/2008
Last updated
04/28/2008
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