Individual provider · Type 1 NPI

Shannon Kelley Fraser

Mental Health Counselor · Decatur, GA

NPI number 1366036212 Active

Practice location

1799 Clairmont Rd
Decatur, GA 30033-4005

Mailing address

833 Cinderella Ct
Decatur, GA 30033-5811

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366036212

Shannon Kelley Fraser's National Provider Identifier is 1366036212, issued on Feb 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Feb 22, 2021.