Dunlap, Shannon K.

Dunlap, Shannon K. is an sole proprietor health care provider with primary practice located at 610 Ridley Ave , Lagrange GA 30240-2236. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Dunlap, Shannon K. can be contacted via phone (706) 884-5050.

Contact Information

Primary practice address
610 Ridley Ave Lagrange GA 30240-2236
Phone: (706) 884-5050
Fax: (706) 884-5056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 202201 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004718 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003497 Georgia

Profile Details

NPI number 1194950857
LBN Legal business name Dunlap, Shannon K.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2009
Last updated Feb 3rd, 2016 - about 8 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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