Individual
SHELLIE CLINKSCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 WASHINGTON RD, EVANS, GA 30809-3966
(762) 254-2020
Mailing address
4325 WASHINGTON RD STE 106, EVANS, GA 30809-3966
(762) 254-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740797489
—
GA
Enumeration date
11/29/2021
Last updated
09/14/2022
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