Individual
KIMBERLY M. CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
406 PIEDMONT RD STE 2, EASLEY, SC 29642-8285
(864) 220-1177
(864) 220-1102
Mailing address
406 PIEDMONT RD STE 2, EASLEY, SC 29642-8285
(864) 220-1177
(864) 220-1102
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2106
SC
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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