Shannon, Virginia

Shannon, Virginia is an individual health care provider with primary practice located at 220 Coral Sands Dr , Rockledge FL 32955-2720. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shannon, Virginia can be contacted via phone (321) 632-5792.

Contact Information

Primary practice address
220 Coral Sands Dr Rockledge FL 32955-2720
Phone: (321) 632-5792
Fax: (321) 632-5796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW 5110 Florida

Profile Details

NPI number 1538298658
LBN Legal business name Shannon, Virginia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 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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