Individual
MRS. KAILEY KRUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Contact information
Practice address
337 VALLEY HEIGHTS LN, COLUMBIA, SC 29223-5862
(508) 649-1581
Mailing address
337 VALLEY HEIGHTS LN, COLUMBIA, SC 29223-5862
(508) 649-1581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11601
SC
101YM0800X
Mental Health Counselor
Primary
8775
SC
Other
Enumeration date
05/15/2024
Last updated
04/08/2026
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