Organization
WELLSPRING COUNSELING LLC
Active
Other names
Wellspring Counseling, Jonathan Kittel LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN KITTEL LPC, LMFT (OWNER/COUNSELOR)
(864) 423-0994
Entity
Organization
Contact information
Practice address
156 MILESTONE WAY STE D, GREENVILLE, SC 29615-5091
(864) 214-2084
(864) 214-0229
Mailing address
16 LEACROFT DR, GREENVILLE, SC 29615-2234
(864) 423-0994
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730617762
NPI TYPE 1
SC
Enumeration date
03/04/2019
Last updated
03/04/2019
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