Otawka, Shannon
Otawka, Shannon is an sole proprietor health care provider with primary practice located at 18700 Main St Ste 202 , Huntington Beach CA 92648-1714. 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. Otawka, Shannon can be contacted via phone (949) 447-1154.Contact Information
Primary practice address
18700 Main St Ste 202
Huntington Beach CA 92648-1714
Phone: (949) 447-1154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 111859 | California |
Profile Details
| NPI number | 1497092977 |
|---|---|
| LBN Legal business name | Otawka, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2013 |
| Last updated | Nov 22nd, 2019 - about 7 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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