Organization
KRISTINA KENNY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA BARRY LPC CACI (COUNSELOR)
(843) 991-0709
Entity
Organization
Contact information
Practice address
5107 N RHETT AVE, NORTH CHARLESTON, SC 29405-4219
(843) 991-0709
Mailing address
5107 N RHETT AVE, NORTH CHARLESTON, SC 29405-4219
(843) 991-0709
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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