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Individual

KEVIN K COOKSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
3600 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-6024
(864) 699-3446
(864) 578-2877
Mailing address
1547 PARKWAY, SUITE 100, GREENWOOD, SC 29646
(864) 229-7120
(864) 229-5526

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106H00000X
Marriage & Family Therapist
20035
NC
106H00000X
Marriage & Family Therapist
4573
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP9591
SC
05
LT1021
SC
Enumeration date
09/26/2013
Last updated
12/06/2023
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