Individual
KIMBERLEY COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
205 BARNWELL AVE NW, AIKEN, SC 29801-3903
(839) 465-5543
(803) 500-5065
Mailing address
6454 BRIDGEWOOD RD, COLUMBIA, SC 29206-2126
(803) 500-5065
(803) 500-5065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
10001
SD
Other
Enumeration date
04/01/2021
Last updated
08/03/2024
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