Individual
SHANNON ELLISON ALDRIDGE-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MHSP
Contact information
Practice address
2262 S GERMANTOWN RD, GERMANTOWN, TN 38138-3805
(901) 753-4300
Mailing address
8748 RASPBERRY LN, CORDOVA, TN 38016-3502
(901) 752-5679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000001856
TN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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