Individual provider · Type 1 NPI

Shannon McKinnon, MA

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1003461575 Active

Practice location

1355 S Hill St
Los Angeles, CA 90015-3012

Mailing address

2141 N Commonwealth Ave
Los Angeles, CA 90027-2145

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Rehabilitation Counselor 225C00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003461575

Shannon McKinnon, MA's National Provider Identifier is 1003461575, issued on Aug 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 1, 2019.