Individual
KRISTEN DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4975 LACROSS RD, CHARLESTON, SC 29406-6523
(843) 261-5949
Mailing address
8 JOHNSTON AVE, BRICK, NJ 08724-2312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00448400
NJ
101YP2500X
Professional Counselor
37PC00852400
NJ
101YP2500X
Professional Counselor
Primary
8832
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
02/23/2019
Last updated
05/24/2023
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