Individual provider · Type 1 NPI

Shannon W. Carl, LPC

Mental Health Counselor · Waco, TX

NPI number 1104411719 Active

Practice location

209 Old Hewitt Rd Ste 3
Waco, TX 76712-6599

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X80799 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1104411719

Shannon W. Carl, LPC's National Provider Identifier is 1104411719, issued on Mar 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waco, TX. The record was last updated on Mar 5, 2021.