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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14218 (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.