Individual
KELSI D STARKS-BRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7968
(803) 996-1500
Mailing address
108 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
8148
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
SC DEPARTMENT OF MENTAL HEALTH
—
Enumeration date
12/06/2021
Last updated
09/12/2024
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