Shanta Jerideau's National Provider Identifier (NPI) Details
Shanta Jerideau, LPC
NPI: 1316290901
Enumeration Date: 2012-10-19
Last updated: 2020-11-03
Sole Proprietor: YES
Status: active
Postal Address: 200 SPRINGTREE DR STE 200, COLUMBIA, SC
Phone: 803-722-4975
Primary Practice Address: 200 SPRINGTREE DR STE 200, COLUMBIA, SC
Practice's phone: 803-722-4975