Shannon, Michael L

Shannon, Michael L is an individual health care provider with primary practice located at 380 Dahlonega St , Cumming GA 30040-8218. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shannon, Michael L can be contacted via phone (678) 683-5693.

Contact Information

Primary practice address
380 Dahlonega St Cumming GA 30040-8218
Phone: (678) 683-5693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1861085854
LBN Legal business name Shannon, Michael L
Credentials CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2021
Last updated Feb 19th, 2021 - about 5 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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