person
Jeremy Daniel Shain, LPC
Professional Counselor in Carrollton, Georgia
NPI 1972114643

Jeremy Daniel Shain is a Professional Counselor based in Carrollton, GA and is specialized in Professional. Jeremy Daniel Shain practices in Carrollton, GA and has the professional credentials of LPC. The NPI Number for Jeremy Daniel Shain is 1972114643 and holds a License No. (Georgia).

The current practice location address for Jeremy Daniel Shain is 101 Myrtle St, Carrollton, GA and can be reached out via phone at 404-512-4030.

Location: 101 Myrtle St, Carrollton, GA, 30117-2212
person
Provider Profile Details
NPI Number
1972114643
Provider Name
Jeremy Daniel Shain
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
101 Myrtle St, Carrollton, GA, 30117-2212
Phone Number
404-512-4030
Fax Number
Provider Enumeration Date
08/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Myrtle St
City
State
Zip
30117-2212
Phone Number
404-512-4030
Fax Number
person
Provider Business Mailing Address Details
Address
101 Myrtle St
City
State
Zip
30117-2212
Phone Number
404-512-4030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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