Individual
SHANELL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2037 WEEMS RD APT 6201, TUCKER, GA 30084-5263
(804) 397-2862
Mailing address
2037 WEEMS RD APT 6201, TUCKER, GA 30084-5263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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