Individual
MS. SHEVANDER DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
8338 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
(678) 934-2041
Mailing address
PO BOX 385, LITHIA SPRINGS, GA 30122-0385
(678) 934-2041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007614
GA
Other
Enumeration date
02/07/2013
Last updated
05/28/2014
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