Individual
MS. SHASHONDALYN SHANAY SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
1944 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 289-6981
Mailing address
2400 HONEY CT, MCDONOUGH, GA 30252-8503
(470) 923-0252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC016534
GA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
03/16/2026
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