Shonda Lafaye Madison, LPC
NPI #1659741221 in Mount Vernon, Georgia
Provider Information
- NPI Number
- 1659741221
- Entity Type
- Individual
- Name
- Shonda Lafaye Madison, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Sep 25, 2015
- Last Updated
- Sep 25, 2015
Practice Location
- Address
- 1110 N MINNIE ST
- City
- Mount Vernon
- State
- Georgia
- ZIP Code
- 30445-2716
- Phone
- (912) 583-2172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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