Individual
CYNTHIA SULLIVAN SHANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6767 OLD MADISON PIKE NW STE 620, HUNTSVILLE, AL 35806-4524
(256) 585-5705
(256) 895-3213
Mailing address
6767 OLD MADISON PIKE NW STE 620, HUNTSVILLE, AL 35806-4524
(256) 585-5705
(256) 895-3213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2750
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2750
LPC
AL
Enumeration date
07/20/2021
Last updated
07/20/2021
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