Wilkerson, Shannon Renard

Wilkerson, Shannon Renard is an sole proprietor health care provider with primary practice located at 6311 Strickland St , Douglasville GA 30134-1261. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wilkerson, Shannon Renard can be contacted via phone (678) 838-8333.

Contact Information

Primary practice address
6311 Strickland St Douglasville GA 30134-1261
Phone: (678) 838-8333
Fax: (678) 838-8444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC009455 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC009455 Georgia

Profile Details

NPI number 1518331362
LBN Legal business name Wilkerson, Shannon Renard
Credentials EDD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2015
Last updated Dec 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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