Individual provider · Type 1 NPI
Shannon Carroll
Mental Health Counselor · Hines, OR
NPI number
1043754955
Active
Practice location
120 N Roanoke
Hines, OR 97738
Fax (541) 573-1781
Mailing address
348 W Adams St
Burns, OR 97720-1710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Hines
About NPI 1043754955
Shannon Carroll's National Provider Identifier is 1043754955, issued on Dec 12, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hines, OR. The record was last updated on Dec 12, 2016.