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MS. SHANNON CODY ROBERTSON

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1144483736

Individual Registrant:
MS. SHANNON CODY ROBERTSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
10 LEE ROAD 546  SMITHS, AL 36877-4624 US
Tel: 706-317-5001  Fax: 706-317-5004

Contact information for business:
10 LEE ROAD 546  SMITHS, AL 36877-4624 US
Tel: 706-317-5001  Fax: 706-317-5004

Registration Information:
NPI: 1144483736
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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