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General NPI Number Information
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NPI Number | 1154055390
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Entity Type | Individual
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Provider Name | ANITA SHANEL KAISER MA, LPC, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 803-921-9655
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Fax |
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Provider Business Mailing Address
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Address Line | 277 OVERCUP LOOP
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City | SUMMERVILLE
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State | SC
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Zip | 29486-6969
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Country | US
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Telephone | 803-921-9655
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 22072
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9964
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License Number State | SC
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