Most Relevant Information
Provider Data
| NPI Number: | 1003308537 |
| Provider Name: | KINSEY CAMERON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 11430 |
Most Important Dates
| Enumeration Date: | 05/31/2018 |
| Last Updated: | 05/31/2018 |
Provider Practice Location
2537 GERVAIS ST
COLUMBIA
SC
292042375
Practice Location Phone/Fax
| Phone: | 8034705624 |
| Fax: |
Provider Mailing Location
2637 RIVER DR APT B19
COLUMBIA
SC
292011751
Provider Mailing Phone/Fax
| Phone: | 8432248707 |
| Fax: |