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MS. SHANNON CODY ROBERTSON
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1144483736
Individual Registrant:MS. SHANNON CODY ROBERTSON
Gender: F
Sole Proprietor
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
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
Tel: 706-317-5001 Fax: 706-317-5004
Registration Information:
NPI: 1144483736
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
