MISS Shannon Dervay, LPC, NCC, CACI
NPI #1518254416 in Chester, South Carolina
Provider Information
- NPI Number
- 1518254416
- Entity Type
- Individual
- Name
- MISS Shannon Dervay, LPC, NCC, CACI
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, NCC, CACI
- Enumeration Date
- Jun 30, 2011
- Last Updated
- Jun 30, 2011
Practice Location
- Address
- 130 HUDSON ST
- City
- Chester
- State
- South Carolina
- ZIP Code
- 29706-1524
- Phone
- (803) 377-8111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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