Individual provider · Type 1 NPI
Amargo Shandale Crenshaw
Professional Counselor · Atlanta, GA
NPI number
1225791353
Active
Practice location
535 Woodridge Dr
Atlanta, GA 30339-3633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 010389 (GA) |
Professional Counselor: Definition to come...
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About NPI 1225791353
Amargo Shandale Crenshaw's National Provider Identifier is 1225791353, issued on Oct 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Oct 15, 2021.