Search › Georgia › 103TC0700X
Shannon Dunlap, PHD
NPI 1194950857 · on the registry since 2009 · sole proprietor
Practice
- Address
- 610 Ridley Ave
Lagrange, GA 30240 - Phone
- (706) 884-5050
- Fax
- (706) 884-5056
- Organisation at this address
- Counseling Services Of Lagrange, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YA0400X
101YP2500X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia