Individual
CARSON SHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 DAHLONEGA ST STE B1902, CUMMING, GA 30040-8216
(678) 371-7357
Mailing address
327 DAHLONEGA ST STE B1902, CUMMING, GA 30040-8216
(678) 371-7357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009560
GA
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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