Organization
KERSHAW COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHLON DAVID KELLIN LISW (EXECUTIVE DIRECTOR)
(803) 246-2123
Entity
Organization
Contact information
Practice address
206 N HAMPTON ST, KERSHAW, SC 29067-1314
(803) 246-2123
(803) 475-4933
Mailing address
206 N HAMPTON ST, KERSHAW, SC 29067-1314
(803) 246-2123
(803) 475-4933
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
365
SC
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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