Individual
MR. CURTIS WADE KEISLER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
1905 SUNSET BLVD STE C, WEST COLUMBIA, SC 29169-5955
(803) 924-5105
Mailing address
2331 JAMES ST, CAYCE, SC 29033-3011
(803) 924-5105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8373
SC
101YM0800X
Mental Health Counselor
8373
SC
101YP2500X
Professional Counselor
8373
SC
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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