Individual provider · Type 1 NPI

Kris Ellen Shock, APC

Mental Health Counselor · Kennesaw, GA

NPI number 1154090009 Active

Practice location

4255 Wade Green Rd NW Ste 414
Kennesaw, GA 30144-1763

Mailing address

59 Gaddis Rd NW
Cartersville, GA 30120-4673

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPC007485 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1154090009

Kris Ellen Shock, APC's National Provider Identifier is 1154090009, issued on Sep 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kennesaw, GA. The record was last updated on Sep 13, 2021.