Provider Demographics
NPI:1548812571
Name:DELANY, JOHN JOSEPH MARIE (LPC-A, MA, NCC)
Entity type:Individual
Prefix:
First Name:JOHN JOSEPH
Middle Name:MARIE
Last Name:DELANY
Suffix:
Gender:M
Credentials:LPC-A, MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 GREENE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-4050
Mailing Address - Country:US
Mailing Address - Phone:256-652-5356
Mailing Address - Fax:
Practice Address - Street 1:3969 SOUTHEASTERN WAY
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2442
Practice Address - Country:US
Practice Address - Phone:803-851-4049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health