Shonda P Dallas, LPC

NPI #1003176363 in Fairburn, Georgia

Provider Information

NPI Number
1003176363
Entity Type
Individual
Name
Shonda P Dallas, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
May 21, 2012
Last Updated
Aug 8, 2020

Practice Location

Address
324 BREEZE MDW
State
Georgia
ZIP Code
30213-6054
Phone
(770) 597-9746

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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