| Kreative Counseling Enrichment Services, Llc | |
|
2110 N Beltline Blvd Columbia SC 29204-3999 | |
| (803) 261-1621 | |
| Not Available |
| Full Name | Kreative Counseling Enrichment Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2110 N Beltline Blvd, Columbia, South Carolina |
| Authorized Official Name and Position | Crystal M Russell (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8032611621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kreative Counseling Enrichment Services, Llc Po Box 4493 Columbia SC 29240-4493 Ph: () - | Kreative Counseling Enrichment Services, Llc 2110 N Beltline Blvd Columbia SC 29204-3999 Ph: (803) 261-1621 |
| NPI Number | 1003004508 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003004508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4739 (South Carolina) | Primary |
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