Individual
SHANNON K NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1120 S KILBOURNE RD, COLUMBIA, SC 29205-4852
(706) 399-6393
Mailing address
1120 S KILBOURNE RD, COLUMBIA, SC 29205-4852
(706) 399-6393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5512
SC
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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