Individual provider · Type 1 NPI
Shirley Joyce Vandiver, MED LPC
Professional Counselor · Ofallon, MO
NPI number
1629186754
Active
Practice location
300 Fort Zumwalt Square, Suite 121
Ofallon, MO 63366-3078
Fax (636) 639-9312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001418 (MO) |
Professional Counselor: Definition to come...
Other professional counselor providers in Ofallon
About NPI 1629186754
Shirley Joyce Vandiver, MED LPC's National Provider Identifier is 1629186754, issued on Aug 28, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ofallon, MO. The record was last updated on Jul 8, 2007.