Individual provider · Type 1 NPI
Mishawn Sharonta Conyers
Mental Health Counselor · Lithonia, GA
NPI number
1962091645
Active
Practice location
7296 Rock Bridge Way
Lithonia, GA 30038-3398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 562603765128 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1962091645
Mishawn Sharonta Conyers's National Provider Identifier is 1962091645, issued on Jan 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lithonia, GA. The record was last updated on Jan 15, 2021.