person
Dr. Shilene Moultrie-johnson, EDD
Professional Counselor in Fayetteville, Georgia
NPI 1285072470

Shilene Moultrie-johnson is a Professional Counselor based in Fayetteville, GA and is specialized in Professional. Shilene Moultrie-johnson practices in Fayetteville, GA and has the professional credentials of EDD. The NPI Number for Shilene Moultrie-johnson is 1285072470 and holds a License No. 1312032 (Georgia).

The current practice location address for Shilene Moultrie-johnson is 190 Eli Run, Fayetteville, GA and can be reached out via phone at 678-382-4999 and via fax at 770-461-4306. You can also correspond with Shilene Moultrie-johnson through the mailing address at 190 ELI RUN, FAYETTEVILLE, GA - 30214-3723 (mailing address contact number: 678-382-4999).

Location: 190 Eli Run, Fayetteville, GA, 30214-3723
person
Provider Profile Details
NPI Number
1285072470
Provider Name
Shilene Moultrie-johnson
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
190 Eli Run, Fayetteville, GA, 30214-3723
Phone Number
678-382-4999
Fax Number
770-461-4306
Provider Enumeration Date
06/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TR-BFTS-1397 01 GA GEORGIA TRAINING APPROVAL:
03112367967 01 GA AMERICAN HEART ASSOCIATION/ BLS INSTRUCTOR
1312032 01 MA TEACHER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
190 Eli Run
City
State
Zip
30214-3723
Phone Number
678-382-4999
Fax Number
770-461-4306
person
Provider Business Mailing Address Details
Address
190 Eli Run
City
State
Zip
30214-3723
Phone Number
678-382-4999
Fax Number
770-461-4306
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1312032 (Massachusetts)
Definition
Definition to come...
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