Shonda P Dallas
Professional Counselor
324 Breeze Mdw
Fairburn
, Georgia 30213-6054
Shonda P Dallas
Professional Counselor
324 Breeze Mdw
Fairburn
, Georgia 30213-6054
(678) 834-5154
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Shonda P Dallas
- 324 Breeze Mdw
- Fairburn, GA
- Zip : 30213-6054
- Fax : (678) 834-5154
- Phone : (770) 597-9746
Second Address
- Shonda P Dallas
- 324 Breeze Mdw
- Fairburn, GA
- Zip : 30213-6054
- Fax : (678) 834-5154
- Phone : (770) 597-9746
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In what state does Shonda P Dallas practice in?
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Is Shonda P Dallas a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 006206 | GA |
National Provider Identifier
| NPI | 1003176363 |
|---|---|
| Provider Name | Shonda P Dallas |
| First Address | Fairburn, GA 30213-6054 |
| Second Address | Fairburn, GA 30213-6054 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2012 |
| Last Update Date | 08/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.