Individual
SHUNTREVIA MONIQUE TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 ONTARIO DR, FAIRBURN, GA 30213-3291
(770) 296-0960
Mailing address
150 ONTARIO DR, FAIRBURN, GA 30213-3291
(770) 296-0960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010364
GA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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