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Individual
SHAN T GUILLORY
Active
Individual
SHAN T GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
79585
TX
101YM0800X
Mental Health Counselor
79585
TX
101YP2500X
Professional Counselor
79585
TX
251B00000X
Case Management Agency
—
—
Other
Enumeration date
04/05/2018
Last updated
10/27/2023
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