Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANTA AVALICE JERIDEAU, LPC
Active Sole ProprietorMRS. SHANTA AVALICE JERIDEAU, LPC is a Mental Health Counselor healthcare provider located in COLUMBIA, South Carolina. NPI 1316290901 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · COLUMBIA, SC
Registration Details
- NPI Number
- 1316290901
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2012 (13.814017196556 yrs)
- Last Updated
- Nov 3, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 SPRINGTREE DR STE 200COLUMBIA, SC, 292238614Browse SC providers · Browse ZIP 29223
- Phone
- 8037224975
- Fax
- 8037226018
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DR. NICOLE WILLIS SNELL | LPC | 1588639652 |
| DR. BECKI HINSON BOATWRIGHT | MAE, PHD, LPC, LPCS | 1326007436 |
| MR. JAMES BLAKELY GORDON | MRC | 1669439352 |
| MRS. PARRIE KANDIS | MA | 1336190909 |
| MS. ALBERTINA I. WASHINGTON-GREEN | MA, LPC | 1568416238 |
| DR. GLEN GERSTNER | PSYD, LPC, NCC | 1609822675 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.