Individual
JAMECA SHONTA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6350
Mailing address
2580 SUMMER LAKE RD APT 6202, LITHIA SPRINGS, GA 30122-3872
(678) 251-6398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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