Shane Maree' Loudermilk, M.S, NCC, APC
Counselor, Professional in McDonough, GA. Individual provider (NPI-1).
NPI number1831963545
StatusActive
Last updated in NPPESNov 13, 2023
Details
- NPI
- 1831963545
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shane Maree' Loudermilk
- Credential
- M.S, NCC, APC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2023
- Certification date
- Nov 13, 2023
- Last updated
- Nov 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | APC009382 | GA | Yes |
Practice location
97 Atlanta StSte 301
McDonough, GA 30253
Phone 470-781-4455
Mailing address
97 Atlanta StreetSuite 301
McDonough, GA 30253
Phone 470-781-4455
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