Individual
KIMBERLY S HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
669 MARINA DR STE B6, CHARLESTON, SC 29492-8120
(843) 814-4429
Mailing address
669 MARINA DR STE B6, CHARLESTON, SC 29492-8120
(843) 814-4429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7060
SC
Other
Enumeration date
11/15/2019
Last updated
08/02/2022
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