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General NPI Number Information
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NPI Number | 1326663246
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Entity Type | Individual
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Provider Name | SHANNON JOINES ADCOCK PH.D., H.S.P.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | FAIRFAX MENTAL HEALTH & WELLNESS 3554 CHAIN BRIDGE ROAD
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City | FAIRFAX
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State | VA
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Zip | 22030
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Country | US
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Telephone | 704-896-7628
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Fax |
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Provider Business Mailing Address
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Address Line | 319 WINROW DR
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City | JAMESTOWN
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State | NC
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Zip | 27282-8434
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Country | US
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Telephone | 336-337-0185
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5723
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License Number State | NC
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