Provider Demographics
NPI:1508288861
Name:SHREFLER, JANET FELDMAN (MED, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:FELDMAN
Last Name:SHREFLER
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:FELDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, NCC, LPC-I
Mailing Address - Street 1:234 KINGS MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-1131
Mailing Address - Country:US
Mailing Address - Phone:803-684-4011
Mailing Address - Fax:803-818-5101
Practice Address - Street 1:234 KINGS MOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-1131
Practice Address - Country:US
Practice Address - Phone:803-684-4011
Practice Address - Fax:803-818-5101
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1354Medicaid