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General NPI Number Information
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NPI Number | 1194635052
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Entity Type | Organization
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Legal Business Name | KERRY WISCHUSEN COUNSELING & MINDFULNESS
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 1671 BELLE ISLE AVE
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-8336
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Country | US
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Telephone | 843-242-0622
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Fax |
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Provider Business Mailing Address
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Address Line | 717 BRUCERIDGE LN
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City | HUGER
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State | SC
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Zip | 29450-9308
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Country | US
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Telephone | 908-347-0501
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | KERRY ROSE WISCHUSEN
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Credential | LPC, MA
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Telephone | 843-242-0622
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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 |
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License Number State |
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