person
Amanda Shannon, MA
Mental Health Counselor in Lynden, Washington
NPI 1417288101

Amanda Shannon is a Mental Health Counselor based in Lynden, WA and is specialized in Mental Health. Amanda Shannon practices in Lynden, WA and has the professional credentials of MA. The NPI Number for Amanda Shannon is 1417288101 and holds a License No. MG 60146874 (Washington).

The current practice location address for Amanda Shannon is 506 Grover St Ste 112, Lynden, WA and can be reached out via phone at 360-383-8682 and via fax at 360-255-0439.

Location: 506 Grover St Ste 112, Lynden, WA, 98264-1960
person
Provider Profile Details
NPI Number
1417288101
Provider Name
Amanda Shannon
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
506 Grover St Ste 112, Lynden, WA, 98264-1960
Phone Number
360-383-8682
Fax Number
360-255-0439
Provider Enumeration Date
01/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00007301 05 CA
institution
Provider Business Practice Location Address Details
Address
506 Grover St Ste 112
City
State
Zip
98264
Phone Number
360-383-8682
Fax Number
360-255-0439
person
Provider Business Mailing Address Details
Address
506 Grover St Ste 112
City
State
Zip
98264
Phone Number
360-383-8682
Fax Number
360-255-0439
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MG 60146874 (Washington)
Definition
Definition to come...
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