Shannon Derico
Shannon Derico is a Mental Health Counselor in Gary, Indiana. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1100 W 6th AveGary, IN 46402-1711
Phone: (219) 885-4264
Fax: (219) 888-9408
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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 | 1548675739 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 25, 2014 |
| Last updated in NPPES | June 25, 2014 |
| Mailing address | 1100 W 6th Ave, Gary, IN 46402-1711 |
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1100 W 6th Ave, Gary, IN 46402-1711 · (219) 885-4264
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Miss. Jill Farmer
1100 W 6th Ave, Gary, IN 46402-1711 · (219) 885-4264
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MS. Ta'Kia Fleming-Pillow
1100 W 6th Ave, Gary, IN 46402-1711 · (219) 885-4264