Individual
DR. ELBERT MACKENZIE SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
(404) 642-7238
(404) 642-7238
Mailing address
1997 BADER AVE SW, ATLANTA, GA 30310-5027
(404) 642-7238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009377
GA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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