person
Shannon L Martin, LPCLIC#2018028478
Professional Counselor in Waynesville, Missouri
NPI 1144803420

Shannon L Martin is a Professional Counselor based in Camdenton, MO and is specialized in Professional. Shannon L Martin practices in Waynesville, MO and has the professional credentials of LPCLIC#2018028478. The NPI Number for Shannon L Martin is 1144803420 and holds a License No. 2018028478 (Missouri).

The current practice location address for Shannon L Martin is 1000 Hospital Rd, Waynesville, MO and can be reached out via phone at 573-774-5353 and via fax at 573-774-2907.

Location: 1000 Hospital Rd, Waynesville, MO, 65020-5101
person
Provider Profile Details
NPI Number
1144803420
Provider Name
Shannon L Martin
Credential
LPCLIC#2018028478
Provider Entity Type
Individual
Gender
Female
Address
1000 Hospital Rd, Waynesville, MO, 65020-5101
Phone Number
573-774-5353
Fax Number
573-774-2907
Provider Enumeration Date
05/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174662720 05 MO
institution
Provider Business Practice Location Address Details
Address
1000 Hospital Rd
City
State
Zip
65583-2634
Phone Number
573-774-5353
Fax Number
573-774-2907
person
Provider Business Mailing Address Details
Address
1000 Hospital Rd
City
State
Zip
65583-2634
Phone Number
573-774-5353
Fax Number
573-774-2907
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2018028478 (Missouri)
Definition
Definition to come...
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