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Shannon Grady
Mental Health Counselor in San Luis Obispo, California
NPI 1144707126

Shannon Grady is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Shannon Grady practices in San Luis Obispo, CA. The NPI Number for Shannon Grady is 1144707126 and holds a License No. (California).

The current practice location address for Shannon Grady is 1255 Kendall Rd, San Luis Obispo, CA and can be reached out via phone at 805-781-3535.

Location: 1255 Kendall Rd, San Luis Obispo, CA, 93401-8750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144707126
Provider Name
Shannon Grady
Credential
Provider Entity Type
Individual
Gender
Female
Address
1255 Kendall Rd, San Luis Obispo, CA, 93401-8750
Phone Number
805-781-3535
Fax Number
Provider Enumeration Date
07/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1255 Kendall Rd
City
San Luis Obispo
State
California
Zip
93401-8750
Phone Number
805-781-3535
Fax Number
person
Provider Business Mailing Address Details
Address
1255 Kendall Rd
City
San Luis Obispo
State
California
Zip
93401-8750
Phone Number
805-781-3535
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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