person
Ellen Dolores Shannon, MSED,LMHC
Mental Health Counselor in Fort Wayne, Indiana
NPI 1841940145

Ellen Dolores Shannon is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Ellen Dolores Shannon practices in Fort Wayne, IN and has the professional credentials of MSED,LMHC. The NPI Number for Ellen Dolores Shannon is 1841940145 and holds a License No. 88000982A (Indiana).

The current practice location address for Ellen Dolores Shannon is 2200 Lake Ave Ste 260, Fort Wayne, IN and can be reached out via phone at 260-424-0411 and via fax at 260-424-3530.

Location: 2200 Lake Ave Ste 260, Fort Wayne, IN, 46805-5351
person
Provider Profile Details
NPI Number
1841940145
Provider Name
Ellen Dolores Shannon
Credential
MSED,LMHC
Provider Entity Type
Individual
Gender
Female
Address
2200 Lake Ave Ste 260, Fort Wayne, IN, 46805-5351
Phone Number
260-424-0411
Fax Number
260-424-3530
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2200 Lake Ave Ste 260
City
State
Zip
46805-5351
Phone Number
260-424-0411
Fax Number
260-424-3530
person
Provider Business Mailing Address Details
Address
2200 Lake Ave Ste 260
City
State
Zip
46805-5351
Phone Number
260-424-0411
Fax Number
260-424-3530
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
88000982A (Indiana)
Definition
Definition to come...
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