Doctor Name: | SHAWNA MARIE HARLIN-CLIFTON |
NPI Number: | 1083667125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC 003758 |
Business Practice Address: | 243 W Main St Swainsboro, GA - 304013163 |
Business Phone Number: | 4782372484 |
Business Fax Number: | 4782377541 |
Mailing Address: | Po Box 1094, SWAINSBORO |
State: | GA |
Postal Code: | 304011094 |
Phone Number: | 4782372484 |
Fax Number: | 4782377541 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 03/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC 003758 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |