Kelly Marie Starbuck, LPC
Counselor, Professional in Summerville, SC. Individual provider (NPI-1).
NPI number1730633652
StatusActive
Last updated in NPPESOct 31, 2023
Details
- NPI
- 1730633652
- Entity type
- Individual (NPI-1)
- Name
- Kelly Marie Starbuck
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2016
- Certification date
- Oct 31, 2023
- Last updated
- Oct 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7198 | SC | Yes |
| 101YM0800X | Counselor, Mental Health | 0701006681 | VA |
Practice location
103 Harth Pl Ste BSummerville, SC 29485-8107
Phone 843-879-3520 · Fax 843-879-2174
Mailing address
1967 Neptune DrNorth Chesterfield, VA 23235-3609
Phone 804-349-5401
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