Individual
SHANTA MILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
20 CROSSVIEW DR, SIMPSONVILLE, SC 29680-7142
(864) 293-8123
Mailing address
20 CROSSVIEW DR, SIMPSONVILLE, SC 29680-7142
(864) 293-8123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7711
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
02/14/2019
Last updated
10/04/2022
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