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Kimerly L Tisdale, MA
Counselor in Conway, South Carolina
NPI 1891890976

Kimerly L Tisdale is a Counselor based in Conway, SC. Kimerly L Tisdale practices in Conway, SC and has the professional credentials of MA. The NPI Number for Kimerly L Tisdale is 1891890976 and holds a License No. (South Carolina).

The current practice location address for Kimerly L Tisdale is 164 Waccamaw Medical Park Dr, Conway, SC and can be reached out via phone at 843-347-5060.

Location: 164 Waccamaw Medical Park Dr, Conway, SC, 29526-8903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891890976
Provider Name
Kimerly L Tisdale
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
164 Waccamaw Medical Park Dr, Conway, SC, 29526-8903
Phone Number
843-347-5060
Fax Number
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
164 Waccamaw Medical Park Dr
City
Conway
State
South Carolina
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider Business Mailing Address Details
Address
164 Waccamaw Medical Park Dr
City
Conway
State
South Carolina
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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