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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS SHANNON DERVAY, LPC, NCC, CACI

Active

MISS SHANNON DERVAY, LPC, NCC, CACI is a Professional Counselor healthcare provider located in CHESTER, South Carolina. NPI 1518254416 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHESTER, SC

Registration Details

NPI Number
1518254416
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2011 (15.106589732877 yrs)
Last Updated
Jun 30, 2011
Licenses
1105055 (SC)
5145 (SC)
8163 (NC)
56127 (NC)

Practice Information

Address
130 HUDSON ST
CHESTER, SC, 297061524
Browse SC providers · Browse ZIP 29706
Phone
8033778111
Fax
8035815380
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in CHESTER, SC

Name Credential NPI
MRS. KESHIA DONUEL KEITH PHD, LPCS, LPC 1013141043
LISA JEAN MONTEITH LPC 1821385717
KATHLEEN HOOD DACAMARA LPC 1053816553
JANELLE GORE LPC-A 1598337123
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.