Ledesma, Shannon Deneice

Ledesma, Shannon Deneice is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-1894. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is her primary health care specialty. Ledesma, Shannon Deneice can be contacted via phone (253) 968-5125.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-1894
Phone: (253) 968-5125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00002517 Washington
Behavioral Health & Social Service Providers / Health 103TH0004X 2517 Washington

Profile Details

NPI number 1578500328
LBN Legal business name Ledesma, Shannon Deneice
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 10th, 2024 - about 2 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 1578500328 NPPES
Washington Other 7574JO REGENCE

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