Kacee L Cleveland, LPC
Counselor, Professional in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1649689290
StatusActive
Last updated in NPPESFeb 20, 2023
Details
- NPI
- 1649689290
- Entity type
- Individual (NPI-1)
- Name
- Kacee L Cleveland
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2014
- Certification date
- Feb 19, 2023
- Last updated
- Feb 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7068 | SC | Yes |
| 101YM0800X | Counselor, Mental Health | 7068 | – |
Practice location
7509 N Ocean BlvdMyrtle Beach, SC 29572-4295
Phone 828-557-4226
Mailing address
7509 N Ocean BlvdMyrtle Beach, SC 29572-4295
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