MS. Shannon L Deitch, LPC

NPI #1639592843 in Alvin, Texas

Provider Information

NPI Number: 1639592843
Entity Type: Individual
Name: MS. Shannon L Deitch, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jan 23, 2014
Last Updated: Dec 27, 2016

Practice Location

Address: 105 N GORDON ST
Address 2: SUITE 202
City: Alvin
State: Texas
ZIP Code: 77511-2718
Phone: (281) 585-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Professional — Professional	101YP2500X

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