Individual provider · Type 1 NPI
Shaketha Blankenship, PhD, LPC, NCC
Professional Counselor · Villa Rica, GA
NPI number
1689242745
Active
Practice location
2026 Barrington Ln
Villa Rica, GA 30180-6954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 391660 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC008522 (GA) |
Professional Counselor: Definition to come...
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About NPI 1689242745
Shaketha Blankenship, PhD, LPC, NCC's National Provider Identifier is 1689242745, issued on Jun 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Villa Rica, GA. The record was last updated on Jun 15, 2021.