Individual
MS. KRISTIE NONE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
123 DOROTHY DR, CHARLESTON, SC 29414-9198
(843) 793-8324
(843) 871-8579
Mailing address
123 DOROTHY DR, CHARLESTON, SC 29414-9198
(843) 793-8324
(843) 871-8579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4267
SC
106H00000X
Marriage & Family Therapist
Primary
4267
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD16DO
—
SC
Enumeration date
10/26/2010
Last updated
06/10/2019
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