Individual provider · Type 1 NPI

Detra Shunell Flowers, LPC

Professional Counselor · Bridgeville, PA

NPI number 1639476005 Active

Practice location

1370 Washington Pike Ste 303
Bridgeville, PA 15017-2886

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPC006219 (PA)
Counselor 101Y00000X65242 (TX)
Professional Counselor Primary 101YP2500XPC006219 (PA)

Professional Counselor: Definition to come...

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About NPI 1639476005

Detra Shunell Flowers, LPC's National Provider Identifier is 1639476005, issued on Feb 22, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeville, PA. The record was last updated on Nov 3, 2024.