Butts, Shannon R.

Butts, Shannon R. is an individual health care provider with primary practice located at 175 Emery Hwy , Macon GA 31217-3692. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Butts, Shannon R. can be contacted via phone (478) 751-4446.

Contact Information

Primary practice address
175 Emery Hwy Macon GA 31217-3692
Phone: (478) 751-4446
Fax: (478) 751-4446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004412 Georgia

Profile Details

NPI number 1992833081
LBN Legal business name Butts, Shannon R.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992833081 NPPES
Georgia Other 004412 LPC

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