Individual provider · Type 1 NPI

Gabriel Shannon, LPC

Professional Counselor · Portland, OR

NPI number 1063644151 Active

Practice location

605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC3300 (OR)

Professional Counselor: Definition to come...

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About NPI 1063644151

Gabriel Shannon, LPC's National Provider Identifier is 1063644151, issued on Aug 21, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Dec 16, 2013.