Individual
KATHERINE M. PETERSON-CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
403 STONEY LANDING ROAD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-7308
Mailing address
P.O. BOX 1030, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-7308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P29384
SC
164W00000X
Licensed Practical Nurse
29384
SC
Other
Enumeration date
10/11/2006
Last updated
06/16/2016
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