Individual
MS. SHANNON L DEITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 N GORDON ST, SUITE 202, ALVIN, TX 77511-2718
(281) 585-0000
(281) 585-0080
Mailing address
3913 SPRING CIRCLE DR E, PEARLAND, TX 77584-9385
(281) 788-6807
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66956
TX
101YP2500X
Professional Counselor
66956
TX
Other
Enumeration date
01/23/2014
Last updated
12/27/2016
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