Individual
SHANNON COLEMAN HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1820 GLYNWOOD DR STE B, PRATTVILLE, AL 36066-5533
(334) 358-2455
Mailing address
1820 GLYNWOOD DR STE B, PRATTVILLE, AL 36066-5533
(334) 358-2455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2358A
AL
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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