Shaneqwa Credle
Counselor in Daytona Beach, FL. Individual provider (NPI-1).
NPI number1194232140
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1194232140
- Entity type
- Individual (NPI-1)
- Name
- Shaneqwa Credle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2017
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1823 Business Park BlvdDaytona Beach, FL 32114-1230
Phone 386-254-1931
Mailing address
1823 Business Park BlvdDaytona Beach, FL 32114-1230
Phone 386-254-1931
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