Organization
JANICE M. SHACKLETON, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SHACKLETON (LPC)
(404) 261-0772
Entity
Organization
Contact information
Practice address
3400 PEACHTREE RD NE, 915, ATLANTA, GA 30326-1170
(404) 261-0772
Mailing address
3400 PEACHTREE RD NE, 915, ATLANTA, GA 30326-1170
(404) 261-0772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
02228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02228
LPC
GA
Enumeration date
07/08/2015
Last updated
07/08/2015
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