person
Shockie M Dersno, LPC
Mental Health Counselor in Phoenix, Arizona
NPI 1154961464

Shockie M Dersno is a Mental Health Counselor based in Phoenix, AZ and is specialized in Mental Health. Shockie M Dersno practices in Phoenix, AZ and has the professional credentials of LPC. The NPI Number for Shockie M Dersno is 1154961464 and holds a License No. LPC-18672 (Arizona).

The current practice location address for Shockie M Dersno is 1840 N 95Th Ave Ste 146, Phoenix, AZ and can be reached out via phone at 404-953-2501.

Location: 1840 N 95Th Ave Ste 146, Phoenix, AZ, 85037-4446
person
Provider Profile Details
NPI Number
1154961464
Provider Name
Shockie M Dersno
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1840 N 95Th Ave Ste 146, Phoenix, AZ, 85037-4446
Phone Number
404-953-2501
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1840 N 95Th Ave Ste 146
City
State
Zip
85037-4446
Phone Number
404-953-2501
Fax Number
person
Provider Business Mailing Address Details
Address
1840 N 95Th Ave Ste 146
City
State
Zip
85037-4446
Phone Number
404-953-2501
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-18672 (Arizona)
Definition
Definition to come...
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