Individual provider · Type 1 NPI

Kelly Moultrie

Professional Counselor · Columbia, SC

NPI number 1033531900 Active

Practice location

1850 Pineview Dr
Columbia, SC 29209-5085

Call (803) 783-0303 Map

Fax (803) 783-0955

Mailing address

2715 Colonial Dr
Columbia, SC 29203-6818

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1033531900

Kelly Moultrie's National Provider Identifier is 1033531900, issued on Jan 13, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, SC. The record was last updated on Jan 13, 2014.