person
Dr. Shaketha Blankenship, PHD,LPC,NCC
Professional Counselor in Villa Rica, Georgia
NPI 1689242745

Shaketha Blankenship is a Professional Counselor based in Villa Rica, GA and is specialized in Professional. Shaketha Blankenship practices in Villa Rica, GA and has the professional credentials of PHD,LPC,NCC. The NPI Number for Shaketha Blankenship is 1689242745 and holds a License No. 391660 (Georgia).

The current practice location address for Shaketha Blankenship is 2026 Barrington Ln, Villa Rica, GA and can be reached out via phone at 404-409-7361.

Location: 2026 Barrington Ln, Villa Rica, GA, 30180-6954
person
Provider Profile Details
NPI Number
1689242745
Provider Name
Shaketha Blankenship
Credential
PHD,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
2026 Barrington Ln, Villa Rica, GA, 30180-6954
Phone Number
404-409-7361
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2026 Barrington Ln
City
State
Zip
30180-6954
Phone Number
404-409-7361
Fax Number
person
Provider Business Mailing Address Details
Address
2026 Barrington Ln
City
State
Zip
30180-6954
Phone Number
404-409-7361
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC008522 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
391660 (Georgia)
Definition
Definition to come...
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