Shannon, Monica Buchanon

Shannon, Monica Buchanon is an individual health care provider with primary practice located at 202 Inspiration Ln , Dallas GA 30157-5011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shannon, Monica Buchanon can be contacted via phone (404) 396-8620.

Contact Information

Primary practice address
202 Inspiration Ln Dallas GA 30157-5011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005094 Georgia

Profile Details

NPI number 1992432355
LBN Legal business name Shannon, Monica Buchanon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2022
Last updated Jan 28th, 2024 - about last year

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 1992432355 NPPES
Georgia MEDICAID 359863

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