Provider Demographics
NPI:1891836359
Name:KAHN, DAVID A (MS, LPC, LPCS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:KAHN
Suffix:
Gender:M
Credentials:MS, LPC, LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 S MCQUEEN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4722
Mailing Address - Country:US
Mailing Address - Phone:843-673-0054
Mailing Address - Fax:843-667-1549
Practice Address - Street 1:323 S MCQUEEN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4722
Practice Address - Country:US
Practice Address - Phone:843-673-0054
Practice Address - Fax:843-667-1549
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional