Shalisa Peterson
Shalisa Peterson is a Mental Health Counselor in Conyers, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2215 Exchange Pl SEConyers, GA 30013-6723
Phone: (770) 679-0586
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1700545605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 8, 2021 |
| Last updated in NPPES | December 8, 2021 |
| Certification date | December 8, 2021 |
| Mailing address | 4790 Kensington Ln Se, Conyers, GA 30094-4346 |
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