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Shannon Thome-stapleton, LPC
Professional Counselor in Loganville, Georgia
NPI 1225525199

Shannon Thome-stapleton is a Professional Counselor based in Monroe, GA and is specialized in Professional. Shannon Thome-stapleton practices in Loganville, GA and has the professional credentials of LPC. The NPI Number for Shannon Thome-stapleton is 1225525199 and holds a License No. LPC010108 (Georgia).

The current practice location address for Shannon Thome-stapleton is 678 Tom Brewer Rd, Loganville, GA and can be reached out via phone at 770-554-3599.

Location: 678 Tom Brewer Rd, Loganville, GA, 30655-2072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225525199
Provider Name
Shannon Thome-stapleton
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
678 Tom Brewer Rd, Loganville, GA, 30655-2072
Phone Number
770-554-3599
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-5177075 05 GA
institution
Provider Business Practice Location Address Details
Address
678 Tom Brewer Rd
City
Loganville
State
Georgia
Zip
30052-4005
Phone Number
770-554-3599
Fax Number
person
Provider Business Mailing Address Details
Address
678 Tom Brewer Rd
City
Loganville
State
Georgia
Zip
30052-4005
Phone Number
770-554-3599
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC010108 (Georgia)
Definition
Definition to come...
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