Individual provider · Type 1 NPI

Shannon Hallstrom, LPC

Mental Health Counselor · Mesa, AZ

NPI number 1003746801 Active

Practice location

1930 S Alma School Rd Ste A203
Mesa, AZ 85210-3066

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	1281717 (ID)
Mental Health Counselor Primary	101YM0800X	LPC-24982 (AZ)

Mental Health Counselor: Definition to come...

4 other providers at this address

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The Order of Promise, LLCMental Health Clinic/Center (Including Community Mental Health Center) Mesa, AZ NPI 1801547468
Aaron David Hallstrom, PhD, LIACAddiction (Substance Use Disorder) Counselor Mesa, AZ NPI 1588922884
Samantha Meiling MauricMental Health Counselor Mesa, AZ NPI 1811770076

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About NPI 1003746801

Shannon Hallstrom, LPC's National Provider Identifier is 1003746801, issued on May 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Aug 12, 2026.