Provider Demographics
NPI:1336988286
Name:SHEARIN, JENNIFER LINDAMOOD (LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LINDAMOOD
Last Name:SHEARIN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 COLERAIN ST
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:GA
Mailing Address - Zip Code:30728-3065
Mailing Address - Country:US
Mailing Address - Phone:705-537-5385
Mailing Address - Fax:
Practice Address - Street 1:14 BELLFLOWER CIR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-4205
Practice Address - Country:US
Practice Address - Phone:705-537-5385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health