Individual
SHANA N CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
755 COMMERCE DR STE 720, DECATUR, GA 30030-2621
(678) 855-8173
(404) 393-9104
Mailing address
755 COMMERCE DR STE 720, DECATUR, GA 30030-2621
(678) 855-8173
(404) 393-9104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC007972
GA
101YM0800X
Mental Health Counselor
Primary
LPC014233
GA
Other
Enumeration date
11/15/2021
Last updated
03/15/2024
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