Shannon, R. Timothy

Shannon, R. Timothy is an individual health care provider with primary practice located at 1012 W Cross St , Ypsilanti MI 48197-2103. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Shannon, R. Timothy can be contacted via phone (734) 649-9989.

Contact Information

Primary practice address
1012 W Cross St Ypsilanti MI 48197-2103
Phone: (734) 649-9989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6401010082 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Michigan
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Michigan

Profile Details

NPI number 1609055714
LBN Legal business name Shannon, R. Timothy
Credentials LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2007
Last updated Oct 25th, 2007 - about 19 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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