Shannon Maxa
NPI #1982084737 in Conway, South Carolina
Provider Information
- NPI Number
- 1982084737
- Entity Type
- Individual
- Name
- Shannon Maxa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 8, 2015
- Last Updated
- Jun 8, 2015
Practice Location
- Address
- 164 WACCAMAW MEDICAL PARK DR
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-8903
- Phone
- (843) 347-5060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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