Organization
COMMONGROUND COUNSELING AND LIFE COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHN PHILLIPS MA, LPC-I (DIRECTOR, CLINICAL COUNSELOR)
(803) 322-5242
Entity
Organization
Contact information
Practice address
242 SIX MILE CREEK RD, LANCASTER, SC 29720-9719
(803) 322-5242
Mailing address
242 SIX MILE CREEK RD, LANCASTER, SC 29720-9719
(803) 322-5242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5690
SC
101YP2500X
Professional Counselor
5690
SC
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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