Most Relevant Information
Provider Data
| NPI Number: | 1003176363 |
| Provider Name: | SHONDA P DALLAS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 006206 |
Most Important Dates
| Enumeration Date: | 05/21/2012 |
| Last Updated: | 08/08/2020 |
Provider Practice Location
324 BREEZE MDW
FAIRBURN
GA
302136054
Practice Location Phone/Fax
| Phone: | 7705979746 |
| Fax: | 6788345154 |
Provider Mailing Location
324 BREEZE MDW
FAIRBURN
GA
302136054
Provider Mailing Phone/Fax
| Phone: | 7705979746 |
| Fax: | 6788345154 |