Individual
KERRY R WISCHUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Contact information
Practice address
710 JOHNNIE DODDS BLVD STE 200, MOUNT PLEASANT, SC 29464-3045
(843) 800-1303
Mailing address
208 SAWYER CIR UNIT 431, CHARLESTON, SC 29492-8625
(908) 347-0501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8658
SC
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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