person
Ms. Carly Blake Shannon, LPC
Professional Counselor in Austin, Texas
NPI 1407001258

Carly Blake Shannon is a Professional Counselor based in Austin, TX and is specialized in Professional. Carly Blake Shannon practices in Austin, TX and has the professional credentials of LPC. The NPI Number for Carly Blake Shannon is 1407001258 and holds a License No. 62456 (Texas).

The current practice location address for Carly Blake Shannon is 1433 Fairfield Dr, Austin, TX and can be reached out via phone at 512-491-8444.

Location: 1433 Fairfield Dr, Austin, TX, 78758-7244
person
Provider Profile Details
NPI Number
1407001258
Provider Name
Carly Blake Shannon
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1433 Fairfield Dr, Austin, TX, 78758-7244
Phone Number
512-491-8444
Fax Number
Provider Enumeration Date
11/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1433 Fairfield Dr
City
State
Zip
78758-7244
Phone Number
512-491-8444
Fax Number
person
Provider Business Mailing Address Details
Address
1433 Fairfield Dr
City
State
Zip
78758-7244
Phone Number
512-491-8444
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
62456 (Texas)
Definition
Definition to come...
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