Individual
SHAUN T. EILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5671 BOYS RANCH RD, HAHIRA, GA 31632-2582
(229) 560-2692
Mailing address
PO BOX 162, HAHIRA, GA 31632-0162
(229) 560-2692
(229) 794-0079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003677
GA
Other
Enumeration date
12/08/2012
Last updated
12/08/2012
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