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Benjamin Luke Shannon
Mental Health Counselor in Newberg, Oregon
NPI 1023723533

Benjamin Luke Shannon is a Mental Health Counselor based in Newberg, OR and is specialized in Mental Health. Benjamin Luke Shannon practices in Newberg, OR. The NPI Number for Benjamin Luke Shannon is 1023723533 and holds a License No. (Oregon).

The current practice location address for Benjamin Luke Shannon is 414 N Meridian St, Newberg, OR and can be reached out via phone at 503-554-2390.

Location: 414 N Meridian St, Newberg, OR, 97132-2697
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023723533
Provider Name
Benjamin Luke Shannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
414 N Meridian St, Newberg, OR, 97132-2697
Phone Number
503-554-2390
Fax Number
Provider Enumeration Date
01/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
414 N Meridian St
City
Newberg
State
Oregon
Zip
97132-2697
Phone Number
503-554-2390
Fax Number
person
Provider Business Mailing Address Details
Address
414 N Meridian St
City
Newberg
State
Oregon
Zip
97132-2697
Phone Number
503-554-2390
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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