Individual
KRISTEN MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2863 N HIGHWAY 17, MT PLEASANT, SC 29466-8962
(843) 469-6803
Mailing address
PO BOX 652, ISLE OF PALMS, SC 29451-0652
(843) 469-6803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5242
SC
101YP2500X
Professional Counselor
Primary
5464
SC
Other
Enumeration date
11/16/2010
Last updated
08/07/2014
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