Shannon Coleman Humphries, ALC
Counselor, Professional in Prattville, AL. Individual provider (NPI-1).
NPI number1003402694
StatusActive
Last updated in NPPESDec 17, 2020
Details
- NPI
- 1003402694
- Entity type
- Individual (NPI-1)
- Name
- Shannon Coleman Humphries
- Credential
- ALC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 17, 2020
- Certification date
- Dec 5, 2020
- Last updated
- Dec 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C2358A | AL | Yes |
Practice location
1820 Glynwood Dr Ste BPrattville, AL 36066-5533
Phone 334-358-2455
Mailing address
1820 Glynwood Dr Ste BPrattville, AL 36066-5533
Phone 334-358-2455
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