person
Mrs. Shanta Avalice Jerideau, LPC
Mental Health Counselor in Columbia, South Carolina
NPI 1316290901

Shanta Avalice Jerideau is a Mental Health Counselor based in Columbia, SC and is specialized in Mental Health. Shanta Avalice Jerideau practices in Columbia, SC and has the professional credentials of LPC. The NPI Number for Shanta Avalice Jerideau is 1316290901 and holds a License No. (South Carolina).

The current practice location address for Shanta Avalice Jerideau is 200 Springtree Dr Ste 200, Columbia, SC and can be reached out via phone at 803-722-4975 and via fax at 803-722-6018.

Location: 200 Springtree Dr Ste 200, Columbia, SC, 29223-8614
person
Provider Profile Details
NPI Number
1316290901
Provider Name
Shanta Avalice Jerideau
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
200 Springtree Dr Ste 200, Columbia, SC, 29223-8614
Phone Number
803-722-4975
Fax Number
803-722-6018
Provider Enumeration Date
10/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Springtree Dr Ste 200
City
State
Zip
29223-8614
Phone Number
803-722-4975
Fax Number
803-722-6018
person
Provider Business Mailing Address Details
Address
200 Springtree Dr Ste 200
City
State
Zip
29223-8614
Phone Number
803-722-4975
Fax Number
803-722-6018
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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