Individual
SHANE JANELL GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2999 PIEDMONT RD NE UNIT 100, ATLANTA, GA 30305-2792
(678) 679-8404
Mailing address
200 ADAMS AVE APT 208, SCRANTON, PA 18503-1607
(718) 570-3446
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC012607
GA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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