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Shannon Abernathy
Mental Health Counselor in Santa Cruz, California
NPI 1033427125

Shannon Abernathy is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Shannon Abernathy practices in Santa Cruz, CA. The NPI Number for Shannon Abernathy is 1033427125 and holds a License No. (California).

The current practice location address for Shannon Abernathy is 115C Coral St, Santa Cruz, CA and can be reached out via phone at 831-459-6644.

Location: 115C Coral St, Santa Cruz, CA, 95060-2133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033427125
Provider Name
Shannon Abernathy
Credential
Provider Entity Type
Individual
Gender
Male
Address
115C Coral St, Santa Cruz, CA, 95060-2133
Phone Number
831-459-6644
Fax Number
Provider Enumeration Date
09/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44P 01 RSS/CSOP PROVIDER IDENTIFIER NUMBER
institution
Provider Business Practice Location Address Details
Address
115C Coral St
City
Santa Cruz
State
California
Zip
95060-2148
Phone Number
831-459-6644
Fax Number
person
Provider Business Mailing Address Details
Address
115C Coral St
City
Santa Cruz
State
California
Zip
95060-2148
Phone Number
831-459-6644
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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