Individual
SHANIKA R MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
235 E PONCE DE LEON AVE STE 103, DECATUR, GA 30030-3412
(678) 753-5248
(404) 585-3054
Mailing address
235 E PONCE DE LEON AVE STE 103, DECATUR, GA 30030-3412
(678) 753-5248
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT000450
GA
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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