Individual provider · Type 1 NPI

Colton Shannon, LPC-MHSP

Mental Health Counselor · Jackson, TN

NPI number 1104474600 Active

Practice location

708 N Highland Ave
Jackson, TN 38301-4829

Call (731) 277-7778 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4374 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1104474600

Colton Shannon, LPC-MHSP's National Provider Identifier is 1104474600, issued on Aug 28, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Aug 28, 2019.