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Individual

DETRA SHUNELL FLOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1370 WASHINGTON PIKE STE 303, BRIDGEVILLE, PA 15017-2886
(610) 892-3800
Mailing address
1370 WASHINGTON PIKE STE 303, BRIDGEVILLE, PA 15017-2886
(610) 892-3800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
65242
TX
101YM0800X
Mental Health Counselor
PC006219
PA
101YP2500X
Professional Counselor
Primary
PC006219
PA

Other

Enumeration date
02/22/2011
Last updated
11/03/2024
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