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Shante Breitenbach
Professional Counselor in Rincon, Georgia
NPI 1114409711

Shante Breitenbach is a Professional Counselor based in Guyton, GA and is specialized in Professional. Shante Breitenbach practices in Rincon, GA. The NPI Number for Shante Breitenbach is 1114409711 and holds a License No. (Georgia).

The current practice location address for Shante Breitenbach is 135 Goshen Road Ext Ste 203, Rincon, GA and can be reached out via phone at 912-421-1188.

Location: 135 Goshen Road Ext Ste 203, Rincon, GA, 31312-7533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114409711
Provider Name
Shante Breitenbach
Credential
Provider Entity Type
Individual
Gender
Female
Address
135 Goshen Road Ext Ste 203, Rincon, GA, 31312-7533
Phone Number
912-421-1188
Fax Number
Provider Enumeration Date
08/30/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
135 Goshen Road Ext Ste 203
City
Rincon
State
Georgia
Zip
31326-5569
Phone Number
912-421-1188
Fax Number
person
Provider Business Mailing Address Details
Address
135 Goshen Road Ext Ste 203
City
Rincon
State
Georgia
Zip
31326-5569
Phone Number
912-421-1188
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC010454 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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