Individual
KATELIN ROSE THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMHC
Contact information
Practice address
4644 WITHERS DR, NORTH CHARLESTON, SC 29405
(843) 813-9717
Mailing address
4644 WITHERS DR, NORTH CHARLESTON, SC 29405-6772
(843) 937-1934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8219
SC
101YM0800X
Mental Health Counselor
LMHC10001993
MA
101YM0800X
Mental Health Counselor
MI-0000180
DE
101YM0800X
Mental Health Counselor
TPMC4866
FL
101YP2500X
Professional Counselor
8219
SC
Other
Enumeration date
07/20/2021
Last updated
12/13/2024
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