Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Daniel Shain, LPC

Individual provider Professional Counselor · NPI 1972114643

Jeremy Daniel Shain, LPC is a Professional Counselor in Carrollton, Georgia. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

101 Myrtle St
Carrollton, GA 30117-2212
Phone: (404) 512-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1972114643
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 14, 2020
Last updated in NPPESAugust 14, 2020
Certification dateAugust 14, 2020
Mailing address101 Myrtle St, Carrollton, GA 30117-2212

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