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Shannon Kelley Fraser
Mental Health Counselor in Decatur, Georgia
NPI 1366036212

Shannon Kelley Fraser is a Mental Health Counselor based in Decatur, GA and is specialized in Mental Health. Shannon Kelley Fraser practices in Decatur, GA. The NPI Number for Shannon Kelley Fraser is 1366036212 and holds a License No. (Georgia).

The current practice location address for Shannon Kelley Fraser is 1799 Clairmont Rd, Decatur, GA and can be reached out via phone at 404-491-7751.

Location: 1799 Clairmont Rd, Decatur, GA, 30033-5811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366036212
Provider Name
Shannon Kelley Fraser
Credential
Provider Entity Type
Individual
Gender
Female
Address
1799 Clairmont Rd, Decatur, GA, 30033-5811
Phone Number
404-491-7751
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1799 Clairmont Rd
City
Decatur
State
Georgia
Zip
30033-4005
Phone Number
404-491-7751
Fax Number
person
Provider Business Mailing Address Details
Address
1799 Clairmont Rd
City
Decatur
State
Georgia
Zip
30033-4005
Phone Number
404-491-7751
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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