O'Donnell, Shannon

O'Donnell, Shannon is an individual health care provider with primary practice located at 444 Hospital Way Ste 477, Pocatello ID 83201-2745. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. O'Donnell, Shannon can be contacted via phone (208) 233-7832.

Contact Information

Primary practice address
444 Hospital Way Ste 477 Pocatello ID 83201-2745
Phone: (208) 233-7832
Fax: (208) 233-7835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1467826115
LBN Legal business name O'Donnell, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2015
Last updated Nov 18th, 2015 - about 11 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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