Pena, Shannon Marie
Pena, Shannon Marie is an sole proprietor health care provider with primary practice located at 3410 Healy Dr Ste 203 , Winston Salem NC 27103-1568. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pena, Shannon Marie can be contacted via phone (336) 774-0006.Contact Information
Primary practice address
3410 Healy Dr Ste 203
Winston Salem NC 27103-1568
Phone: (336) 774-0006
Fax: (336) 774-0007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | A10731 | North Carolina |
Profile Details
| NPI number | 1861860389 |
|---|---|
| LBN Legal business name | Pena, Shannon Marie |
| Credentials | MS, CRC. LPCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2015 |
| Last updated | Oct 25th, 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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