Shantreze Deshae Anderson, NPI 1306202007
Professional Counselor in Lagrange, GEORGIA, UM

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306202007
NPI Entity Type Individual
Provider Name Shantreze Deshae Anderson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 102 Main Street, Suite 228, Lagrange, GEORGIA, UM
Provider Mailing Address 114 Jasmine Ln, Lagrange, GA, US, 302418358
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

101YP2500X

Taxonomy Name Professional Counselor
Classification

Counselor

Group

Behavioral Health & Social Service Providers

Description Definition to come...

Other Name

Shantreze Deshae Russell
Former Name

Business Address

Shantreze Deshae Anderson
102 Main Street
Suite 228

Lagrange, GEORGIA, UM

Phone: 678-547-0495

Mailing Address

Shantreze Deshae Anderson
114 Jasmine Ln
Lagrange, GA, US
ZIP 302418358
Phone: 706-616-4325

Other Providers in GEORGIA, UM

NPI Name Taxonomy Address

1649713330

REGISTERED NURSE Felicia Yvette Choyce

Individual

Registered Nurse

175 Gwinnett Drive

Lawrenceville, GEORGIA

1265445324

P.A. Joy Steinkraus

Individual

Medical Physician Assistant

743 Spring Street Ne

Gainesville, GEORGIA

1306202007

Shantreze Deshae Anderson

Individual

Professional Counselor

102 Main Street

Suite 228

Lagrange, GEORGIA

1104064815

Vistas Medical Center,pc

Organization

Medical Specialty Clinic/Center

5329 Memorial Dr Ste A

Stone Mountain, GEORGIA

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