Carpenter, Shannan

Carpenter, Shannan is an individual health care provider with primary practice located at 3404 King St , Berkeley CA 94703-2626. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Carpenter, Shannan can be contacted via phone (510) 601-8966.

Contact Information

Primary practice address
3404 King St Berkeley CA 94703-2626
Phone: (510) 601-8966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1942752860
LBN Legal business name Carpenter, Shannan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2016
Last updated Oct 26th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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