Individual
KARISSA V.L. DELORME-SHIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
2555 S DIXIE DR STE 260, DAYTON, OH 45409
(937) 853-9061
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2002043
OH
Other
Enumeration date
12/13/2017
Last updated
04/20/2022
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