Individual
MR. CHAD KRISAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., LPES, NCSP
Contact information
Practice address
2907 STONESTOWN DR, CHARLESTON, SC 29414-6690
(901) 487-7506
Mailing address
2907 STONESTOWN DR, CHARLESTON, SC 29414-6690
(901) 487-7506
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588615918
—
SC
Enumeration date
08/05/2014
Last updated
06/19/2019
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