Individual provider · Type 1 NPI

Shockie M. Dersno, LPC

Mental Health Counselor · Phoenix, AZ

NPI number 1154961464 Active

About NPI 1154961464

Shockie M. Dersno, LPC's National Provider Identifier is 1154961464, issued on Jan 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 1, 2025.