Individual
CARMEN SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, LPC, NCC
Contact information
Practice address
126 ENTERPRISE PATH STE 206, HIRAM, GA 30141-2654
(770) 313-1773
Mailing address
725 OBERLOCHEN WAY, DOUGLASVILLE, GA 30134-6367
(770) 313-1773
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004926
GA
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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