Individual
KATHERINE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1495 REMOUNT RD STE 3A, NORTH CHARLESTON, SC 29406-3320
(843) 882-6880
(843) 892-0394
Mailing address
1640 TOUHEY BLVD UNIT B, CHARLESTON AFB, SC 29404-2157
(330) 807-7562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6644
SC
101YM0800X
Mental Health Counselor
Primary
7211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC2113
—
SC
Enumeration date
11/16/2018
Last updated
08/31/2021
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