MRS. Shanta Avalice Jerideau, LPC is a mental health counselor in Columbia, SC. MRS. Shanta Avalice Jerideau, LPC NPI is 1316290901. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
200 SPRINGTREE DR STE 200
COLUMBIA, SC
ZIP 29223-614
Phone: (803) 722-4975
Fax: (803) 722-6018
The enumeration date for this NPI number is 10/19/2012 and was last updated on 11/3/2020.