person
Shannon Derico
Mental Health Counselor in Gary, Indiana
NPI 1548675739

Shannon Derico is a Mental Health Counselor based in Gary, IN and is specialized in Mental Health. Shannon Derico practices in Gary, IN. The NPI Number for Shannon Derico is 1548675739 and holds a License No. (Indiana).

The current practice location address for Shannon Derico is 1100 W 6Th Ave, Gary, IN and can be reached out via phone at 219-885-4264 and via fax at 219-888-9408.

Location: 1100 W 6Th Ave, Gary, IN, 46402-1711
person
Provider Profile Details
NPI Number
1548675739
Provider Name
Shannon Derico
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 W 6Th Ave, Gary, IN, 46402-1711
Phone Number
219-885-4264
Fax Number
219-888-9408
Provider Enumeration Date
06/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 W 6Th Ave
City
State
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
219-888-9408
person
Provider Business Mailing Address Details
Address
1100 W 6Th Ave
City
State
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
219-888-9408
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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