Mrs. Tedra Dorothy Lucille Shriner
School Counselor Professional Counselor
101 Southcreek Pl
Athens
, Georgia 30606-2334
Mrs. Tedra Dorothy Lucille Shriner
School Counselor Professional Counselor
101 Southcreek Pl
Athens
, Georgia 30606-2334
(706) 766-5794
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About
Features
Specialties
- Professional Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Mrs. Tedra Dorothy Lucille Shriner
- 101 Southcreek Pl
- Athens, GA
- Zip : 30606-2334
- Phone : (706) 766-5794
Second Address
- Mrs. Tedra Dorothy Lucille Shriner
- 101 Southcreek Pl
- Athens, GA
- Zip : 30606-2334
- Phone : (706) 766-5794
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 011444 | GA |
| N | 101YS0200X | School Counselor | 767889 | GA |
National Provider Identifier
| NPI | 1013502624 |
|---|---|
| Provider Name | Mrs. Tedra Dorothy Lucille Shriner |
| First Address | Athens, GA 30606-2334 |
| Second Address | Athens, GA 30606-2334 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.