Individual provider · Type 1 NPI
Jeremy Daniel Shain, LPC
Professional Counselor · Carrollton, GA
NPI number
1972114643
Active
Practice location
101 Myrtle St
Carrollton, GA 30117-2212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1972114643
Jeremy Daniel Shain, LPC's National Provider Identifier is 1972114643, issued on Aug 14, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Carrollton, GA. The record was last updated on Aug 14, 2020.