Individual provider · Type 1 NPI

Shacasey Rivers

Mental Health Counselor · Lawrenceville, GA

NPI number 1699019612 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Call (770) 339-2395 Map

Fax (678) 990-3997

Mailing address

1985 Old Concord Dr SE
Covington, GA 30016-1731

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1699019612

Shacasey Rivers's National Provider Identifier is 1699019612, issued on Nov 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 15, 2012.