MRS. SHANTA JERIDEAU, LPC

Counselor - Mental Health

Active Individual
NPI: 1316290901

Practice Address

200 SPRINGTREE DR STE 200
Columbia, SC 29223

Phone: (803) 722-4975

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1316290901 is the National Provider Identifier for MRS. SHANTA JERIDEAU, LPC, a Counselor - Mental Health provider located in Columbia, SC. This NPI was enumerated on October 19, 2012.
MRS. SHANTA JERIDEAU, LPC practices at 200 SPRINGTREE DR STE 200, Columbia, SC 29223.

Quick Facts

NPI
1316290901
Type
Individual
Enumerated
Oct 19, 2012
Last Updated
Nov 3, 2020

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