Individual
KEARA NDHLOVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1105 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 649-1900
(803) 643-2926
Mailing address
1105 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 649-1900
(803) 643-2926
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11792 LMSW
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11792 LMSW
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570569761
TAX ID
SC
05
—
AD01AK
—
SC
Enumeration date
07/15/2016
Last updated
07/15/2016
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