Individual
SHARRON BANKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
5066 FIELDGREEN XING, STONE MOUNTAIN, GA 30088-3103
(910) 224-1654
Mailing address
5066 FIELDGREEN XING, STONE MOUNTAIN, GA 30088-3103
(910) 224-1654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC005369
GA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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