Individual
KENDRA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1765 MIDBROOK DR, COLUMBIA, SC 29229-8284
(803) 795-8135
Mailing address
1765 MIDBROOK DR, COLUMBIA, SC 29229-8284
(803) 795-8135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8899
SC
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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