Individual
SHENICE LAKENDRA BETHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LAPC
Contact information
Practice address
101B HAMPTON CT, DUBLIN, GA 31021-4928
(478) 232-9893
Mailing address
101B HAMPTON CT, DUBLIN, GA 31021-4928
(478) 232-9893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005321
GA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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