Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | Martin, Kenneth Leon | [sources] | |||
Other name | Full Circle Counseling Services and Consultation, LLC | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States of America | [sources] | |||
NPI | 1093899007 · 1417341611 | [sources] | |||
Sector | Ind-Lic HC Serv Prov - Licensed Professional Counselor | [sources] | |||
Status | not available | [sources] | |||
Address | Columbia, SC 29212 | [sources] | |||
Last change | Last processed | First seen |
Medical providers excluded from South Carolina's Medicaid program.
United States of America · SCDHHS
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