Individual
KELLY MARIE STARBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 HARTH PL STE B, SUMMERVILLE, SC 29485-8107
(843) 879-3520
(843) 879-2174
Mailing address
1967 NEPTUNE DR, NORTH CHESTERFIELD, VA 23235-3609
(804) 349-5401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701006681
VA
101YP2500X
Professional Counselor
Primary
7198
SC
Other
Enumeration date
08/09/2016
Last updated
10/31/2023
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