Individual
MR. JEREMIAH SHANE DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2921 N TRAVIS ST STE 100, SHERMAN, TX 75092-2534
(469) 458-0445
(469) 458-0445
Mailing address
2921 N TRAVIS ST STE 100, SHERMAN, TX 75092-2534
(469) 458-0445
(469) 458-0445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60556714
WA
101YM0800X
Mental Health Counselor
CP60556714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41614
—
WA
01
—
CP60556714
CHEMICAL DEPENDANCY PROFESSIONAL
WA
Enumeration date
08/18/2015
Last updated
02/27/2026
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