Spicer, Shannon

Spicer, Shannon is an sole proprietor health care provider with primary practice located at 4250 Fowler Ln Ste 204 , Diamond Springs CA 95619-9782. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Spicer, Shannon can be contacted via phone (530) 295-1491.

Contact Information

Primary practice address
4250 Fowler Ln Ste 204 Diamond Springs CA 95619-9782
Phone: (530) 295-1491
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 145762 California
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California

Profile Details

NPI number 1174248934
LBN Legal business name Spicer, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2022
Last updated Mar 21st, 2024 - about 2 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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