Groh, Shannon L

Groh, Shannon L is an individual health care provider with primary practice located at 830 Pleasant St Ste 201 , Saint Joseph MI 49085-2279. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Groh, Shannon L can be contacted via phone (269) 982-3832.

Contact Information

Primary practice address
830 Pleasant St Ste 201 Saint Joseph MI 49085-2279
Phone: (269) 982-3832
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013838 Michigan

Profile Details

NPI number 1275830093
LBN Legal business name Groh, Shannon L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2011
Last updated Sep 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275830093 NPPES
Ohio MEDICAID 0241705

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