Organization
KATHRYN SHORT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ELIZABETH SHORT LPC (COUNSELOR)
(864) 626-3696
Entity
Organization
Contact information
Practice address
13 BRUNSON ST, GREENVILLE, SC 29607-1903
(803) 465-0927
Mailing address
13 BRUNSON ST, GREENVILLE, SC 29607-1903
(803) 465-0927
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5590
SC
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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