Individual
SHANNON STEPHANIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
320 MIDLAND PKWY STE C, SUMMERVILLE, SC 29485-7195
(843) 871-4790
(844) 965-9336
Mailing address
9699 SEED ST, LADSON, SC 29456-6746
(843) 557-4303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8057
SC
101YP2500X
Professional Counselor
8057
SC
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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