Individual
KELSEY NESBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
198 ROPER MOUNTAIN ROAD EXT STE B, GREENVILLE, SC 29615-6912
(864) 668-5095
Mailing address
28 FARIS CIR, GREENVILLE, SC 29605-1010
(864) 434-1250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
09/23/2020
Last updated
09/13/2024
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