person
Shannon Traurig
Professional Counselor in Columbus, Ohio
NPI 1194201657

Shannon Traurig is a Professional Counselor based in Detroit, OH and is specialized in Professional. Shannon Traurig practices in Columbus, OH. The NPI Number for Shannon Traurig is 1194201657 and holds a License No. C1801379 (Ohio).

The current practice location address for Shannon Traurig is 495 E Main St Ste A, Columbus, OH and can be reached out via phone at 614-355-8055 and via fax at 614-355-8056.

Location: 495 E Main St Ste A, Columbus, OH, 48278-1629
person
Provider Profile Details
NPI Number
1194201657
Provider Name
Shannon Traurig
Credential
Provider Entity Type
Individual
Gender
Female
Address
495 E Main St Ste A, Columbus, OH, 48278-1629
Phone Number
614-355-8055
Fax Number
614-355-8056
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1473276 05 OH
institution
Provider Business Practice Location Address Details
Address
495 E Main St Ste A
City
State
Zip
43215
Phone Number
614-355-8055
Fax Number
614-355-8056
person
Provider Business Mailing Address Details
Address
495 E Main St Ste A
City
State
Zip
43215
Phone Number
614-355-8055
Fax Number
614-355-8056
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E.2001874 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C1801379 (Ohio)
Definition
Definition to come...
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