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Dr. Shannon Renard Wilkerson, EDD
Mental Health Counselor in Douglasville, Georgia
NPI 1518331362

Shannon Renard Wilkerson is a Mental Health Counselor based in Douglasville, GA and is specialized in Mental Health. Shannon Renard Wilkerson practices in Douglasville, GA and has the professional credentials of EDD. The NPI Number for Shannon Renard Wilkerson is 1518331362 and holds a License No. LPC009455 (Georgia).

The current practice location address for Shannon Renard Wilkerson is 6311 Strickland St, Douglasville, GA and can be reached out via phone at 678-838-8333 and via fax at 678-838-8444.

Location: 6311 Strickland St, Douglasville, GA, 30134-1261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518331362
Provider Name
Shannon Renard Wilkerson
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
6311 Strickland St, Douglasville, GA, 30134-1261
Phone Number
678-838-8333
Fax Number
678-838-8444
Provider Enumeration Date
11/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6311 Strickland St
City
Douglasville
State
Georgia
Zip
30134-1261
Phone Number
678-838-8333
Fax Number
678-838-8444
person
Provider Business Mailing Address Details
Address
6311 Strickland St
City
Douglasville
State
Georgia
Zip
30134-1261
Phone Number
678-838-8333
Fax Number
678-838-8444
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC009455 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC009455 (Georgia)
Definition
Definition to come...
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