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Search › South Carolina › 101YP2500X

Shannon Dervay, LPC, NCC, CACI

NPI 1518254416 · on the registry since 2011

Practice

Address
130 Hudson St
Chester, SC 29706
Phone
(803) 377-8111
Fax
(803) 581-5380
Organisation at this address
Ohio Valley Physicians Inc
Chester County Commision On Alcohol And Drug Abuse
Chester County Commission On Alcohol And Drug Abuse
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
101YP2500X
101YP2500X
Licence states on file
SC, NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina