Individual
SHENETHA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2680
(678) 212-6343
Mailing address
1302 RIVER CLUB DR NE, CONYERS, GA 30012-6617
(404) 290-8890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005495
GA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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