Individual
MR. MELISSA DIANE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
334 PROSPECT CHURCH RD, ATHENS, GA 30607-2217
(770) 979-1074
Mailing address
377 MCCLURE RD, GILLSVILLE, GA 30543-4626
(770) 979-1074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006316
GA
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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