Search › Georgia › 1041C0700X
Shannon Bruckner, LCSW, CAADC
NPI 1497243836 · on the registry since 2018 · sole proprietor
Practice
- Address
- 119 Sycamore Dr
Athens, GA 30606 - Phone
- (864) 659-0543
- Organisation at this address
- Lagom Counseling Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia