Individual provider · Type 1 NPI
Jennifer Cummings Shotwell, LCDC
Addiction (Substance Use Disorder) Counselor · Dallas, TX
NPI number
1720587173
Active
Practice location
2626 Cole Ave Ste 300
Dallas, TX 75204-1094
Mailing address
6472 Trammel Dr
Dallas, TX 75214-2219
Other practice locations
- 12810 Hillcrest Rd # B223, Dallas, TX 75230-1525 · (713) 557-8430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14218 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720587173
Jennifer Cummings Shotwell, LCDC's National Provider Identifier is 1720587173, issued on Feb 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, TX. The record was last updated on Oct 31, 2019.