Individual provider · Type 1 NPI
Shonda P. Dallas, LPC
Professional Counselor · Fairburn, GA
NPI number
1003176363
Active
Practice location
324 Breeze Mdw
Fairburn, GA 30213-6054
Fax (678) 834-5154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 006206 (GA) |
Professional Counselor: Definition to come...
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About NPI 1003176363
Shonda P. Dallas, LPC's National Provider Identifier is 1003176363, issued on May 21, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairburn, GA. The record was last updated on Aug 8, 2020.