MICHAEL L SHANNON

CUMMING, GA
NPI1861085854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-02-19
Last Update Date2021-02-19
Business Address
MICHAEL L SHANNON CADC II
380 DAHLONEGA ST
CUMMING, GA 30040-8218
Phone number: 678-683-5693
Mailing Address
MICHAEL L SHANNON CADC II
380 DAHLONEGA ST
CUMMING, GA 30040-8218
Phone number: 678-683-5693
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