Individual provider · Type 1 NPI

Shannon Cantrell

Professional Counselor · Conyers, GA

NPI number 1669876330 Active

Practice location

596 Lakeridge Cir SE
Conyers, GA 30094-2639

Call (404) 824-7184 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X006055 (GA)

Professional Counselor: Definition to come...

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About NPI 1669876330

Shannon Cantrell's National Provider Identifier is 1669876330, issued on Oct 9, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conyers, GA. The record was last updated on Oct 9, 2014.