Individual provider · Type 1 NPI

Shalisa Peterson

Mental Health Counselor · Conyers, GA

NPI number 1700545605 Active

Practice location

2215 Exchange Pl SE
Conyers, GA 30013-6723

Mailing address

4790 Kensington Ln SE
Conyers, GA 30094-4346

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700545605

Shalisa Peterson's National Provider Identifier is 1700545605, issued on Dec 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conyers, GA. The record was last updated on Dec 8, 2021.