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NPI Code Detail

MEDICARE: MRS. TORRE MIRANDON SHEPKER LPC, AADC, NCC, MAC

MEDICARE: MRS. TORRE MIRANDON SHEPKER LPC, AADC, NCC, MAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor9847SC
2101YA0400XAddiction (Substance Use Disorder) Counselor2148SC

General Provider Information

NPI Number : 1487997177
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TORRE MIRANDON SHEPKER LPC, AADC, NCC, MAC
Provider Business Mailing Address
First Line : 755 ELECTRIC DR
Second Line :
City : SUMTER
State : SC
Zip : 29153-1933
Country : US
Telephone Number : 803-905-5100
Fax Number : 803-905-5171
Provider Business Practice Location Address
First Line : 755 ELECTRIC DR
Second Line :
City : SUMTER
State : SC
Zip : 29153-1933
Country : US
Telephone Number : 803-905-5100
Fax Number : 803-905-5171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2013
Last Update Date : 08/09/2024

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Directions to “ MRS. TORRE MIRANDON SHEPKER LPC, AADC, NCC, MAC” Practice Location

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