Individual provider · Type 1 NPI
Shonta Thomas
Professional Counselor · Fairburn, GA
NPI number
1689059172
Active
Practice location
365 Lake Jonathan Ln
Fairburn, GA 30213-3912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | APC004983 (GA) |
Professional Counselor: Definition to come...
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About NPI 1689059172
Shonta Thomas's National Provider Identifier is 1689059172, issued on Jul 25, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairburn, GA. The record was last updated on Jul 25, 2015.