Individual
MS. WANDA KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA, CS, AADC
Contact information
Practice address
8200 STATE FARM RD, REMBERT, SC 29128-8219
(803) 529-8276
Mailing address
713 FLINT LOCK CV, FLORENCE, SC 29501-8056
(843) 229-2355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10779
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
04/16/2026
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