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SHINERIKA REAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7626
(478) 803-8596
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7626
(478) 803-8596

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC004715
GA
101YM0800X
Mental Health Counselor
Primary
LPC008872
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APC004715
LICENSED ASSOCIATE PROFESSIONAL COUNSELOR
GA
01
LPC008872
LPC
GA
Enumeration date
02/17/2015
Last updated
07/26/2018
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