Individual
MRS. SHANTE L SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
573 JACK NEELY RD, COVINGTON, GA 30016-2975
(404) 518-1516
Mailing address
573 JACK NEELY RD, COVINGTON, GA 30016-2975
(404) 518-1516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010107
GA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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