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Organization

FULLCIRCLE COUNSELING SERVICE AND CONSULTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH LEON MARTIN LPC (OWNER)
(803) 467-4125
Entity
Organization

Contact information

Practice address
105 PACES BROOK AVE, #518, COLUMBIA, SC 29212-1642
(803) 467-4125
(803) 569-6523
Mailing address
105 PACES BROOK AVE, #518, COLUMBIA, SC 29212-1642
(803) 467-4125
(803) 569-6523

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4911
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1102
SC
Enumeration date
03/25/2015
Last updated
03/25/2015
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