SHANTA AVALICE JERIDEAU

COLUMBIA, SC
NPI1316290901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-10-19
Last Update Date2020-11-03
Business Address
Mrs. SHANTA AVALICE JERIDEAU LPC
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223-8614
Phone number: 803-722-4975
Mailing Address
Mrs. SHANTA AVALICE JERIDEAU LPC
200 SPRINGTREE DR STE 200
COLUMBIA, SC 29223-8614
Phone number: 803-722-4975
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