Provider Demographics
NPI:1487296901
Name:DREYER, SHIRSTEN P (LPC, MS, NCC)
Entity type:Individual
Prefix:
First Name:SHIRSTEN
Middle Name:P
Last Name:DREYER
Suffix:
Gender:F
Credentials:LPC, MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 BUCKEYE RD STE 349
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4238
Mailing Address - Country:US
Mailing Address - Phone:404-457-0981
Mailing Address - Fax:
Practice Address - Street 1:2302 PARKLAKE DR NE STE 425
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2896
Practice Address - Country:US
Practice Address - Phone:404-457-0981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health