Seyedan, Shannon L

Seyedan, Shannon L is an sole proprietor health care provider with primary practice located at 2722 S 186Th Dr , Goodyear AZ 85338-4216. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Seyedan, Shannon L can be contacted via phone (480) 650-6242.

Contact Information

Primary practice address
2722 S 186Th Dr Goodyear AZ 85338-4216
Phone: (480) 650-6242
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10312 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-10573 Arizona

Profile Details

NPI number 1881727444
LBN Legal business name Seyedan, Shannon L
Credentials LCSW, LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Aug 30th, 2023 - about 3 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 1881727444 NPPES
Arizona Other 761412 PROVIDER NUMBER

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