Organization
KOESTLINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. CHARLES KOESTLINE JR. MA (LPC)
(803) 781-1565
Entity
Organization
Contact information
Practice address
6952 SAINT ANDREWS RD, ST. ANDREWS PRESBYTERIAN CHURCH, COLUMBIA, SC 29212-1143
(803) 727-3460
Mailing address
1509 QUAIL VLY W, COLUMBIA, SC 29212-1536
(803) 781-1565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
149
SC
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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