Individual
MICHAEL ROBERT KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1046 OLD BUNCOMBE RD, GREENVILLE, SC 29617-6250
(864) 202-6884
Mailing address
105 MAPLEBROOK ST, LAURENS, SC 29360-2727
(864) 607-0548
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
06/23/2023
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