Individual
KEISHA DUNNOM NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 BRAFIELD PL, IRMO, SC 29063-9371
(803) 973-2461
(803) 455-6697
Mailing address
210 BRAFIELD PL, IRMO, SC 29063-9371
(803) 973-2461
(803) 455-6697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8604
SC
Other
Enumeration date
01/20/2021
Last updated
10/14/2024
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