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Shannon Reilly Dimario
Mental Health Counselor in Brea, California
NPI 1720644693

Shannon Reilly Dimario is a Mental Health Counselor based in Corona, CA and is specialized in Mental Health. Shannon Reilly Dimario practices in Brea, CA. The NPI Number for Shannon Reilly Dimario is 1720644693 and holds a License No. AMFT131567 (California).

The current practice location address for Shannon Reilly Dimario is 265 S Randolph Ave, Brea, CA and can be reached out via phone at 657-246-3075.

Location: 265 S Randolph Ave, Brea, CA, 92882-7941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720644693
Provider Name
Shannon Reilly Dimario
Credential
Provider Entity Type
Individual
Gender
Female
Address
265 S Randolph Ave, Brea, CA, 92882-7941
Phone Number
657-246-3075
Fax Number
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
265 S Randolph Ave
City
Brea
State
California
Zip
92821-5754
Phone Number
657-246-3075
Fax Number
person
Provider Business Mailing Address Details
Address
265 S Randolph Ave
City
Brea
State
California
Zip
92821-5754
Phone Number
657-246-3075
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
AMFT131567 (California)
Definition
Definition to come...
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