Ferry Branaugh, Shannon E.
Ferry Branaugh, Shannon E. is an sole proprietor health care provider with primary practice located at 541 Willamette St Ste 407A , Eugene OR 97401-2696. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ferry Branaugh, Shannon E. can be contacted via phone (541) 209-0289.Contact Information
Primary practice address
541 Willamette St Ste 407A
Eugene OR 97401-2696
Phone: (541) 209-0289
Fax: (999) 999-9999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Oregon | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L10532 | Oregon |
Profile Details
| NPI number | 1134590730 |
|---|---|
| LBN Legal business name | Ferry Branaugh, Shannon E. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2015 |
| Last updated | Apr 29th, 2022 - about 4 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 | 1134590730 | NPPES |
| Oregon | Other | L10532 | LCSW LICENSE |
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