KEVIN M CIBOROWSKI
NPI 1841800745
Counselor - Mental Health in Conway, SC
Active since August 05, 2020
About Kevin M Ciborowski NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN M CIBOROWSKI (NPI 1841800745) is an individual mental health provider in Conway, South Carolina and active in the NPI registry since August 2020.
NPPES Registry Identity
NPI1841800745
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN M CIBOROWSKI
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address662 Sunny Pond LnAynor, SC 29511-4690 · (631) 806-8432
Phone(843) 234-8094
Sole ProprietorYes
Enumeration DateAugust 5, 2020
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
✔ NPI 1841800745 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
CONWAY, SC 29526
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
CONWAY, SC 29526
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841800745, enumerated as an "individual" on August 05, 2020.
The provider is located at 164 WACCAMAW MEDICAL PARK DR CONWAY, SC 29526 and the phone number is (843) 234-8094.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.