Individual
SHANNON KINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR
Contact information
Practice address
3232 MEMORIAL DR, DECATUR, GA 30032-3419
(516) 456-9952
Mailing address
3232 MEMORIAL DR, DECATUR, GA 30032-3419
(404) 692-2776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15-087
GA
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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