Individual
JENNIFER CUMMINGS SHOTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2626 COLE AVE STE 300, DALLAS, TX 75204-1094
(713) 557-8430
Mailing address
6472 TRAMMEL DR, DALLAS, TX 75214-2219
(713) 557-8430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14218
TX
Other
Enumeration date
02/12/2018
Last updated
10/31/2019
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