Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON RENARD WILKERSON, EDD
Active Sole ProprietorDR. SHANNON RENARD WILKERSON, EDD is a Mental Health Counselor healthcare provider located in DOUGLASVILLE, Georgia. NPI 1518331362 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1518331362
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2015 (10.709890979031 yrs)
- Last Updated
- Dec 30, 2023
- Licenses
-
LPC009455 (GA)LPC009455 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6311 STRICKLAND STDOUGLASVILLE, GA, 301341261Browse GA providers · Browse ZIP 30134
- Phone
- 6788388333
- Fax
- 6788388444
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in DOUGLASVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| STACY JAYNES ANDERSON | M.ED., LPC | 1528029089 |
| MS. PAMELA GAIL MCHAN | LPC | 1093940801 |
| ROBERT J BODZIOCH | MA, LPC | 1649580549 |
| MS. SHEVANDER DYKES | MA, LPC | 1841539129 |
| CHERYL A FRANCIS | NCC, LPC | 1326381377 |
| TAMARA ANDREWS | — | 1609314590 |
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.