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Individual

SHAUNA FERRESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LPC-S, LAC, NCC

Contact information

Practice address
1620 ASHLEY RIVER RD, CHARLESTON, SC 29407-5902
(843) 556-8177
(843) 571-2742
Mailing address
1620 ASHLEY RIVER RD, CHARLESTON, SC 29407-5902
(843) 556-8177

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
194
SC
101YP2500X
Professional Counselor
Primary
9099
SC

Other

Enumeration date
10/18/2016
Last updated
07/10/2024
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