Mrs. Shannon Nicole Farrouge, MA, LPC - Portland, OR

Mrs. Shannon Nicole Farrouge, MA,LPC

Counselor in Portland, Oregon

NPI 1215289210

Shannon Nicole Farrouge is a Counselor based in Portland, OR. Shannon Nicole Farrouge practices in Portland, OR and has the professional credentials of MA,LPC. The NPI Number for Shannon Nicole Farrouge is 1215289210 and holds a License No. (Oregon).

The current practice location address for Shannon Nicole Farrouge is 5520 Sw Macadam, Ave, Portland, OR and can be reached out via phone at 503-888-1369 and via fax at 503-646-8401.

Location: 5520 Sw Macadam, Ave, Portland, OR, 97239

NPI Number

1215289210

Provider Name

Shannon Nicole Farrouge

Credential

MA,LPC

Provider Entity Type

Individual

Gender

Female

Address

5520 Sw Macadam, Ave, Portland, OR, 97239

Phone Number

503-888-1369

Fax Number

503-646-8401

Provider Enumeration Date

10/15/2012

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
0000WDBCH	01	WA	GROUP MEDICARE
164936	05	OR
0000WDBCH	01	OR	GROUP MEDICARE

Address

5520 Sw Macadam, Ave

City

Portland

State

Oregon

Zip

97239

Phone Number

503-888-1369

Fax Number

503-646-8401

Address

5520 Sw Macadam, Ave

City

Portland

State

Oregon

Zip

97239

Phone Number

503-888-1369

Fax Number

503-646-8401

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

C3859 (Oregon)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Professional

Taxonomy

101YP2500X

License No.

()

Definition

Definition to come...

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