Individual
KRISTEN EZSOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 619-7989
Mailing address
3885 HOTTINGER AVE, NORTH CHARLESTON, SC 29405-7019
(716) 725-1451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7657
SC
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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