Cullen-Carroll, Shanna
Cullen-Carroll, Shanna is an sole proprietor health care provider with primary practice located at 100 Sun Ave Ne Ste 650 , Albuquerque NM 87109-4670. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cullen-Carroll, Shanna can be contacted via phone (909) 790-8603.Contact Information
Primary practice address
100 Sun Ave Ne Ste 650
Albuquerque NM 87109-4670
Phone: (909) 790-8603
Fax: (909) 790-8618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 49429 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T-CTL0212371 | New Mexico |
Profile Details
| NPI number | 1730211715 |
|---|---|
| LBN Legal business name | Cullen-Carroll, Shanna |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Oct 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730211715 | NPPES |
| California | Other | 330489658 | TAX ID # |
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