Individual
DR. KERRY SCOTT LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16 FULTON ST, CHARLESTON, SC 29401-1921
(843) 853-3456
Mailing address
496 E WIMBLEDON DR, CHARLESTON, SC 29412-2929
(843) 762-1422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4708
SC
103TC2200X
Clinical Child & Adolescent Psychologist
688
SC
103TS0200X
School Psychologist
688
SC
106H00000X
Marriage & Family Therapist
Primary
4708
SC
Other
Enumeration date
02/22/2007
Last updated
03/24/2011
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