Individual provider · Type 1 NPI
Lyn C. Shade, LPC
Professional Counselor · Hoschton, GA
NPI number
1245811744
Active
Practice location
5628 Tisbury Ct
Hoschton, GA 30548-5536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC001359 (GA) |
Professional Counselor: Definition to come...
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About NPI 1245811744
Lyn C. Shade, LPC's National Provider Identifier is 1245811744, issued on Apr 16, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hoschton, GA. The record was last updated on Nov 24, 2021.