Individual
MAKEDA KAHLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
469 ELLIS AVE, ORANGEBURG, SC 29115
(803) 662-9239
Mailing address
PO BOX 381, CORDOVA, SC 29039-0381
(803) 662-9239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6332
SC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/20/2017
Last updated
11/01/2021
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