| 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 | [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 · SCDHHS
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