Wade, Shannon Darell

Wade, Shannon Darell is an sole proprietor health care provider with primary practice located at 24077 State Highway 49 , Nevada City CA 95959-8519. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Wade, Shannon Darell can be contacted via phone (530) 265-9057.

Contact Information

Primary practice address
24077 State Highway 49 Nevada City CA 95959-8519
Phone: (530) 265-9057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF96917 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1568915981
LBN Legal business name Wade, Shannon Darell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2016
Last updated Sep 1st, 2021 - about 5 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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