Individual
KIMBERLY REDDOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
1101 OLD TROLLEY RD STE 400, SUMMERVILLE, SC 29485-5294
(843) 469-0935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6274
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
01
—
1790210169
BUSINESS
SC
Enumeration date
01/21/2014
Last updated
05/12/2021
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