Individual
KAYLEIGH ESWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA, NCC
Contact information
Practice address
4766 SUNSET BLVD STE A, LEXINGTON, SC 29072-9252
(803) 381-5637
Mailing address
4766 SUNSET BLVD STE A, LEXINGTON, SC 29072-9252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6869
SC
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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