Mrs. Shanta Avalice Jerideau, LPC
Mrs. Shanta Avalice Jerideau, LPC is a Mental Health Counselor in Columbia, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
200 Springtree Dr Ste 200Columbia, SC 29223-8614
Phone: (803) 722-4975
Fax: (803) 722-6018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1316290901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPC |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2012 |
| Last updated in NPPES | November 3, 2020 |
| Certification date | September 30, 2020 |
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Ervin B Jefferson
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MS. Laraine Kim Jenkins, LPC
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Angel G Johnson, MA, LPC, LPCS, LCMHC
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