Individual
SHANTAL M CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CADC II
Contact information
Practice address
221 EXECUTIVE CIRCLE, SUITE 7, SAVANNAH, GA 31406-4529
(912) 521-4301
Mailing address
125 CLOVER POINT CIR, GUYTON, GA 31312-7134
(912) 675-3421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124764
DRUG AND ALCOHOL
GA
Enumeration date
01/07/2021
Last updated
10/19/2023
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