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Shannon Marie Bradshaw
Professional Counselor in Frisco, Texas
NPI 1043329766

Shannon Marie Bradshaw is a Professional Counselor based in Frisco, TX and is specialized in Professional. Shannon Marie Bradshaw practices in Frisco, TX. The NPI Number for Shannon Marie Bradshaw is 1043329766 and holds a License No. 13210 (Texas).

The current practice location address for Shannon Marie Bradshaw is 9555 Lebanon Rd 602, Frisco, TX and can be reached out via phone at 214-387-8848.

Location: 9555 Lebanon Rd 602, Frisco, TX, 75035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043329766
Provider Name
Shannon Marie Bradshaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
9555 Lebanon Rd 602, Frisco, TX, 75035
Phone Number
214-387-8848
Fax Number
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02687401 05 TX
institution
Provider Business Practice Location Address Details
Address
9555 Lebanon Rd 602
City
Frisco
State
Texas
Zip
75035
Phone Number
214-387-8848
Fax Number
person
Provider Business Mailing Address Details
Address
9555 Lebanon Rd 602
City
Frisco
State
Texas
Zip
75035
Phone Number
214-387-8848
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
13210 (Texas)
Definition
Definition to come...
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