Individual
KRISTEN M SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDM; CAS; LPC
Contact information
Practice address
1012 ANNA KNAPP EXT, MT PLEASANT, SC 29464-5400
(843) 800-0626
(843) 884-0061
Mailing address
1012 ANNA KNAPP EXT, MT PLEASANT, SC 29464-5400
(843) 800-0626
(843) 884-0061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5762
SC
101YP2500X
Professional Counselor
Primary
5762
SC
1041S0200X
School Social Worker
419253
MA
1041S0200X
School Social Worker
5762
SC
106H00000X
Marriage & Family Therapist
59454
CA
Other
Enumeration date
05/13/2009
Last updated
03/27/2018
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