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NPI Code Detail

MEDICARE: CLAIRE KRIETEMEYER

MEDICARE: CLAIRE KRIETEMEYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7790SC

General Provider Information

NPI Number : 1336802255
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE KRIETEMEYER
Provider Business Mailing Address
First Line : 109 ROSE CREEK LN
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-8855
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2625 RUTLEDGE ST STE A
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2520
Country : US
Telephone Number : 803-380-8870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 12/11/2025

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Directions to “ CLAIRE KRIETEMEYER ” Practice Location

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