Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTREZE DESHAE ANDERSON
ActiveSHANTREZE DESHAE ANDERSON is a Professional Counselor healthcare provider located in LAGRANGE, GEORGIA. NPI 1306202007 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LAGRANGE, GEORGIA
Registration Details
- NPI Number
- 1306202007
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2016 (10.570890567887 yrs)
- Last Updated
- Jan 11, 2016
Practice Information
- Address
-
102 MAIN STREETSUITE 228LAGRANGE, GEORGIA, 30240Browse GEORGIA providers · Browse ZIP 30240
- Phone
- 6785470495
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.