| Koestline, Inc. | |
|
6952 Saint Andrews Rd St. Andrews Presbyterian Church Columbia SC 29212-1143 | |
| (803) 727-3460 | |
| Not Available |
| Full Name | Koestline, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6952 Saint Andrews Rd, Columbia, South Carolina |
| Authorized Official Name and Position | W. Charles Koestline (LPC) |
| Authorized Official Contact | 8037811565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koestline, Inc. 1509 Quail Vly W Columbia SC 29212-1536 Ph: (803) 781-1565 | Koestline, Inc. 6952 Saint Andrews Rd St. Andrews Presbyterian Church Columbia SC 29212-1143 Ph: (803) 727-3460 |
| NPI Number | 1225245665 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225245665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 149 (South Carolina) | Primary |
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