Individual provider · Type 1 NPI

Kristen M. Shealy, EDM; CAS; LPC

Professional Counselor · Mount Pleasant, SC

NPI number 1891929212 Active

Practice location

1012 Anna Knapp Ext
Mount Pleasant, SC 29464-5400

Fax (843) 884-0061

Other practice locations

  • 171 Ashley Ave, Charleston, SC 29425-8908 · (843) 792-1414

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X5762 (SC)
Professional Counselor Primary 101YP2500X5762 (SC)
School Social Worker 1041S0200X5762 (SC)
School Social Worker 1041S0200X419253 (MA)
Marriage & Family Therapist 106H00000X59454 (CA)

Professional Counselor: Definition to come...

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About NPI 1891929212

Kristen M. Shealy, EDM; CAS; LPC's National Provider Identifier is 1891929212, issued on May 13, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Pleasant, SC. The record was last updated on Mar 27, 2018.