Individual
KAILEE PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22 WINDERMERE BLVD STE B, CHARLESTON, SC 29407-7492
(843) 633-2622
Mailing address
1703 EALLYSTOCKERT RD, CHARLESTON, SC 29414-6137
(843) 633-2622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6211
SC
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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