Kellie Brabham Weathers
Counselor, Professional in Orangeburg, SC. Individual provider (NPI-1).
NPI number1750834040
StatusActive
Last updated in NPPESAug 5, 2022
Details
- NPI
- 1750834040
- Entity type
- Individual (NPI-1)
- Name
- Kellie Brabham Weathers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2016
- Certification date
- Aug 5, 2022
- Last updated
- Aug 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
3310 Magnolia StOrangeburg, SC 29115-1466
Phone 803-531-6900
Mailing address
3310 Magnolia StOrangeburg, SC 29115-1466
Phone 803-531-6900
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All 33 Professional Counselor providers in Orangeburg · All 1,271 providers in Orangeburg
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