Individual
SHENA LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S MAIN ST STE A8, ALPHARETTA, GA 30009-1957
(404) 783-8135
Mailing address
1640 HABERSHAL RD NW, ATLANTA, GA 30318-4041
(404) 783-8135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004930
GA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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