Female

Shanelle T. Smith LPC

Professional Counselor in Atlanta, GA(View on Map)

Full Name

Shanelle Thomasina Smith LPC

NPI Number

1215572912

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/18/2019

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Georgia
Georgia

License Number

LPC014204
APC006694

Contact
Information

Purpose

Mailing
Location

Address

1157 BOOKER AVE SW
1157 BOOKER AVE SW

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30310-3605
30310-3605

Country

US
US

Telephone Number

(770) 238-6052
(770) 238-6052

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/18/2023

Provider Address

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