IndividualActive
Shanasia Victrum, MA
NPI 1255068698 · Mental Health Counselor · Rex, GA
Provider details
- NPI number
- 1255068698
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
177 Hayes Cir
Rex, GA 30273-1543
Phone: (678) 613-3542
Approximate (ZIP-level) locationGet directions
Mailing address
177 Hayes Cir
Rex, GA 30273-1543
Registry dates
- Enumerated
- 2022-08-05
- Last updated
- 2022-08-05
- Certified
- 2022-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.